This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / ID
NURSE PRACTITIONER
Graduated: 2013
NPI: 1720410012
210 W BURNSIDE AVE, SUITE D
CHUBBUCK, ID 832024916
2082525566
Source: CMS National Downloadable File, September 2026.