NPI 1912095563

Jan Sund Fnp,pc

Organisation Health Maintenance Organization Twin Falls, ID

Practice location

Address: 496 Shoup Ave W STE C, Twin Falls, ID 83301-5043
Phone: (208) 733-6677
Fax: (208) 733-6674

Authorised official

Name: Jan a Sund
Title: President
Phone: (208) 733-6677

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence NP282-A (ID)

Other Health Maintenance Organization providers in Idaho →

Registry record

NPI: 1912095563
Entity type: Organization
NPI issued: 10 Oct 2006
Record last updated: 22 Aug 2020

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.