SearchIdaho101YA0400X

Maria Jensen, RN, ICADC

NPI 1245408400 · on the registry since 2008

Practice

Address
2975 Overland Ave
Burley, ID 83318
Phone
(208) 878-2600
Fax
(208) 878-1336
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho