Gundersen, Kamilla

Gundersen, Kamilla is an individual health care provider with primary practice located at 777 Hospital Way , Pocatello ID 83207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gundersen, Kamilla can be contacted via phone (208) 220-3222.

Contact Information

Primary practice address
777 Hospital Way Pocatello ID 83207
Phone: (208) 220-3222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 58907 Idaho

Profile Details

NPI number 1649756404
LBN Legal business name Gundersen, Kamilla
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2018
Last updated Jul 16th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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