Individual provider · NPI-1
Deeann Briggs Tak, BSN-RN, CDCES
Registered Nurse, Diabetes Educator · Idaho Falls, ID
NPI number1821715095
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1821715095
- Entity type
- Individual (NPI-1)
- Name
- Deeann Briggs Tak
- Credential
- BSN-RN, CDCES
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2022
- Certification date
- Oct 27, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD0400X | Registered Nurse, Diabetes Educator | n-32403 | ID | Yes |
Practice location
3200 Channing Way Ste 102Idaho Falls, ID 83404-7546
Phone 208-528-2925 · Fax 208-528-7371
Mailing address
3200 Channing Way Ste 102Idaho Falls, ID 83404-7546
Phone 208-528-2925 · Fax 208-528-7371
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