SearchIdaho363LF0000X

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 Group
Inferred 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