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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLUE LAKES GASTROENTEROLOGY PLLC

Active Organization

BLUE LAKES GASTROENTEROLOGY PLLC is a Nurse Practitioner organization located in TWIN FALLS, Idaho. NPI 1821299553 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · TWIN FALLS, ID

Registration Details

NPI Number
1821299553
Provider Type
Organization
NPI Issued
May 30, 2007 (19.24069604775 yrs)
Last Updated
Mar 9, 2013

Practice Information

Address
775 POLE LINE RD W
SUITE 203
TWIN FALLS, ID, 833015814
Browse ID providers · Browse ZIP 83301
Phone
2088148300
Fax
2087338970
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Organizations in TWIN FALLS, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.