Tina Guedes, NP
Nurse Practitioner, Family in Lava Hot Springs, ID. Individual provider (NPI-1).
NPI number1194366013
StatusActive
Last updated in NPPESJan 17, 2024
Details
- NPI
- 1194366013
- Entity type
- Individual (NPI-1)
- Name
- Tina Guedes
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2019
- Certification date
- Jan 17, 2024
- Last updated
- Jan 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 60443 | ID | Yes |
Practice location
85 S 5th WLava Hot Springs, ID 83246
Phone 208-776-5202 · Fax 844-492-9775
Mailing address
500 S 11th Ave Ste 400Pocatello, ID 83201-4880
Phone 208-232-7862
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