NPI 1528866027
Johnny Michael Urrutia
Practice location
- Address
- 596 Silver Beach Dr, Jerome, ID 83338-6416
- Phone
- (208) 996-0706
- Mailing address
- PO Box 1000, Shoshone, ID 83352-1000
Registered specialties
Health & Wellness Coach
Primary
Registry record
- NPI
- 1528866027
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Mar 2025
- Record last updated
- 3 Mar 2025
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.