Sunrise Mobile Medicine

LBN: Magno C. Santos Msn, Fnp-C Pllc
Sunrise Mobile Medicine is an health care organization with primary practice located at 2300 N Yellowstone Hwy Ste 104 , Idaho Falls ID 83401-1662. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Magno C. Santos Msn, Fnp-C Pllc can be contacted via phone (208) 538-1963, or through Santos, Magno C. via phone (801) 503-7712.

Contact Information

Primary practice address
2300 N Yellowstone Hwy Ste 104 Idaho Falls ID 83401-1662
Phone: (208) 538-1963
Fax: (208) 615-8005
Website:
Map and Directions
Authorized official contact:
Name: Santos, Magno C. Family Nurse Practitioner (FNP)
Phone: (801) 503-7712

Health care specialties

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

Profile Details

NPI number 1013341254
LBN Legal business name Magno C. Santos Msn, Fnp-C Pllc
DBA Doing business as Sunrise Mobile Medicine
Authorized official Santos, Magno C. Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2013
Last updated Dec 16th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013341254 NPPES
Idaho MEDICAID IDTPID015961

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