Individual provider · NPI-1

Eulalia Adriana Aljayoushi, FNP-C

Nurse Practitioner, Family · Idaho Falls, ID

NPI number1083067268
StatusActive
Last updated in NPPESJul 22, 2016

Details

NPI
1083067268
Entity type
Individual (NPI-1)
Name
Eulalia Adriana Aljayoushi
Credential
FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 22, 2016
Last updated
Jul 22, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family53513AIDYes

Practice location

1995 E 17th St Ste 1
Idaho Falls, ID 83404-6493

Phone 208-357-9193 · Fax 208-357-9173

Mailing address

6143 E Middle Fork Rd
Idaho Falls, ID 83406-8332

Phone 208-403-6574

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