DENISE LORAINE BIRD

IDAHO FALLS, ID
NPI1851470785
Former NameDENISE BARNES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  NP-1643A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1643A)
Enumeration Date2006-11-02
Last Update Date2024-05-29
Business Address
Mrs. DENISE LORAINE BIRD NP
1970 E 17TH ST STE 111B
IDAHO FALLS, ID 83404-8046
Phone number: 208-541-5257
Mailing Address
Mrs. DENISE LORAINE BIRD NP
4710 CUMBERLAND DR
IDAHO FALLS, ID 83404-8414
Phone number: 208-716-6445