Search › Idaho › 363LF0000X
Telietha Hammon, FNP-BC
NPI 1942976592 · on the registry since 2021
Practice
- Address
- 1880 John Adams Pkwy
Idaho Falls, ID 83401 - Phone
- (208) 524-6633
- Fax
- (208) 524-9952
- Organisation at this address
- Wallace C Baker
Wallace Bakers Mid-Level GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-27
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