Individual provider · Type 1 NPI
Lesli D. Christofferson, MSN, FNP-BC
Family Nurse Practitioner · Idaho Falls, ID
NPI number
1912255704
Active
Practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Mailing address
2860 Channing Way Ste 115
Idaho Falls, ID 83404-7532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP-1216A (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1912255704
Lesli D. Christofferson, MSN, FNP-BC's National Provider Identifier is 1912255704, issued on Aug 27, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 1, 2012.