Vista Healthcare PC

NPI #1720502370 in Rexburg, Idaho

Provider Information

NPI Number: 1720502370
Entity Type: Organization
Organization Name: Vista Healthcare PC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Jul 26, 2017
Last Updated: Nov 17, 2017

Practice Location

Address: 556 TREJO ST STE B
City: Rexburg
State: Idaho
ZIP Code: 83440-2626
Phone: (208) 351-6981

Authorized Official

Name: RACHELLE JONES, FNP-C
Title: PRESIDENT
Phone: (208) 881-0902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Nurse Practitioner - Women's Health — Women's Health	363LW0102X
Nurse Practitioner - Obstetrics & Gynecology — Obstetrics & Gynecology	363LX0001X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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