LISA MARIE BURGER

IDAHO FALLS, ID
NPI1982395695
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: ID  72583)
Additional Taxonomies363LA2100X Nurse Practitioner Acute Care
(Licence: ID  72583)
363LG0600X Nurse Practitioner Gerontology
(Licence: ID  72583)
Enumeration Date2023-05-15
Last Update Date2024-03-06
Business Address
LISA MARIE BURGER ACAGNP-C
2065 E 17TH ST
IDAHO FALLS, ID 83404-8042
Phone number: 800-640-3451
Mailing Address
LISA MARIE BURGER ACAGNP-C
694 N 7TH E
SUGAR CITY, ID 83448-5024
Phone number: