THERESA MARIE KAUFMANN

POCATELLO, ID
NPI1649266529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: ID  NP160A)
Enumeration Date2005-09-26
Last Update Date2008-11-14
Business Address
-- THERESA MARIE KAUFMANN ANP
777 HOSPITAL WAY BLDG A STE. 101
POCATELLO, ID 83201-2753
Phone number: 208-234-2001
Mailing Address
-- THERESA MARIE KAUFMANN ANP
PO BOX O
POCATELLO, ID 83205-0049
Phone number: 208-234-2001