Bird, Denise Loraine

Bird, Denise Loraine is an individual health care provider with primary practice located at 1970 E 17Th St Ste 111B , Idaho Falls ID 83404-8046. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bird, Denise Loraine can be contacted via phone (208) 541-5257.

Contact Information

Primary practice address
1970 E 17Th St Ste 111B Idaho Falls ID 83404-8046
Phone: (208) 541-5257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1643A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-1643A Idaho

Profile Details

NPI number 1851470785
LBN Legal business name Bird, Denise Loraine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated May 29th, 2024 - about 4 months 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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