Rocky Mountain Womens Clinic LLC
NPI #1104436195 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1104436195
- Entity Type
- Organization
- Organization Name
- Rocky Mountain Womens Clinic LLC
- Primary Specialty
- Midwife
- Enumeration Date
- Aug 4, 2020
- Last Updated
- Nov 2, 2020
Practice Location
- Address
- 2065 E 17TH ST STE A
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-8042
- Phone
- (208) 497-0541
Authorized Official
- Name
- KYLEE JOHNSON, CNM
- Title
- OWNER
- Phone
- (208) 497-0541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Women's Health — Women's Health |
| Midwife |
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