NPI 1588038616

Carmen Hernandez Radford

Organisation Public Health or Welfare Agency Idaho Falls, ID

Practice location

Address: 3652 Washington Pkwy, Idaho Falls, ID 83404-7573
Phone: (208) 419-0593
Mailing address: 5451 Thatcher Ave, Idaho Falls, ID 83404-4935

Authorised official

Name: Carmen Hernandez Radford
Title: Fnp
Phone: (208) 757-1854

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence NP-1660A (ID)

Other Public Health or Welfare providers in Idaho →

Registry record

NPI: 1588038616
Entity type: Organization
NPI issued: 1 Dec 2015
Record last updated: 1 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.