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Gustin Blad, FNP-BC

NPI 1982979936 · on the registry since 2012 · sole proprietor

Practice

Address: 777 Hospital Way
Pocatello, ID 83201
Phone: (208) 239-1000
Organisation at this address: Cds,Pa
Rcp Inc
Bmh Inc.
Cep America Llc
Teton Spine, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 138

Registry record

Primary taxonomy: Family Nurse Practitioner
363LF0000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-03-08

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