Individual provider · Type 1 NPI

Kristie Glen Karroum, FNP-C

Pediatric Nurse Practitioner · Idaho Falls, ID

NPI number 1922513886 Active

Practice location

3320 S 25th E
Idaho Falls, ID 83404-4606

Mailing address

5480 Gleneagles Dr
Idaho Falls, ID 83401-6315

Other practice locations

  • 5480 Gleneagles Dr, Idaho Falls, ID 83401-6315 · (208) 569-9031

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X57631 (ID)
Pediatric Nurse Practitioner Primary 363LP0200XPENDING (ID)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1922513886

Kristie Glen Karroum, FNP-C's National Provider Identifier is 1922513886, issued on Dec 13, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 17, 2018.