Magno C. Santos Msn, Fnp-C Pllc
NPI #1013341254 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1013341254
- Entity Type
- Organization
- Organization Name
- Magno C. Santos Msn, Fnp-C Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 23, 2013
- Last Updated
- Dec 16, 2022
Practice Location
- Address
- 2300 N YELLOWSTONE HWY STE 104
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-1662
- Phone
- (208) 538-1963
Authorized Official
- Name
- MR. MAGNO C. SANTOS, FNP
- Title
- OWNER
- Phone
- (801) 503-7712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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