Nathan Thompson Burke, ACNPC-AG | |
2730 Channing Way, Idaho Falls, ID 83404-5049 | |
(208) 542-7100 | |
Not Available |
Full Name | Nathan Thompson Burke |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 2730 Channing Way, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558074955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 70954 (Idaho) | Primary |
Entity Name | Mountain View Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
Entity Name | Community Care West Side Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295009785 PECOS PAC ID: 3678738218 Enrollment ID: O20120703000554 |
Entity Name | Cc Pocatello Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538517156 PECOS PAC ID: 8527353176 Enrollment ID: O20160822003018 |
Mailing Address | Practice Location Address |
---|---|
Nathan Thompson Burke, ACNPC-AG 8426 S Blackhawk Dr, Idaho Falls, ID 83406-4915 Ph: (503) 490-6776 | Nathan Thompson Burke, ACNPC-AG 2730 Channing Way, Idaho Falls, ID 83404-5049 Ph: (208) 542-7100 |
Mr. Morgan Tius Garriott, MSN, APRN, CNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7021 Fax: 208-542-7371 | |
Mrs. Molly Susan Phillipp, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2065 E 17th St, Suite D, Idaho Falls, ID 83404 Phone: 208-522-0747 Fax: 208-522-9641 | |
Sandy Palma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2155 Rendezvous Rd, Idaho Falls, ID 83402 Phone: 773-386-1861 | |
James D Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404 Phone: 208-932-7024 Fax: 208-904-4447 | |
Salina Thetford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-419-3271 | |
Christopher Leif Edwards, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2330 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7060 | |
Mr. Nathan Eric Bradfield, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2280 E 25th St, Idaho Falls, ID 83404 Phone: 208-227-2100 Fax: 208-227-2362 |