CODIE M ROBERTSON

POCATELLO, ID
NPI1134477870
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1210A)
Enumeration Date2012-08-28
Last Update Date2024-01-29
Business Address
Mrs. CODIE M ROBERTSON FNP-C
110 VISTA DR
POCATELLO, ID 83201-4520
Phone number: 208-234-2300
Mailing Address
Mrs. CODIE M ROBERTSON FNP-C
5330 STUART AVE
CHUBBUCK, ID 83202-2262
Phone number: 208-221-6187
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