SAMANTHA DE BRUYN KOPS

IDAHO FALLS, ID
NPI1730744947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  61296)
Enumeration Date2019-05-02
Last Update Date2024-02-05
Business Address
SAMANTHA DE BRUYN KOPS APRN, FNP-C
2065 E 17TH ST STE C
IDAHO FALLS, ID 83404-8042
Phone number: 208-522-6106
Mailing Address
SAMANTHA DE BRUYN KOPS APRN, FNP-C
6405 S 3000 E STE 201
SALT LAKE CITY, UT 84121-6990
Phone number: 801-266-3113
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