Center Street Health Care LLC

NPI #1417104530 in Pocatello, Idaho

Provider Information

NPI Number
1417104530
Entity Type
Organization
Organization Name
Center Street Health Care LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 20, 2008
Last Updated
Sep 30, 2008

Practice Location

Address
1553 E CENTER ST
State
Idaho
ZIP Code
83201-4135
Phone
(208) 233-9355

Authorized Official

Name
MS. CYNTHIA MARIE RICE, RNCNP
Title
OWNER/PROVIDER
Phone
(208) 233-9355

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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