| Kristen Coburn, FNP/C | |
|
120 E Howard St, Driggs, ID 83422-5112 | |
| (208) 354-2383 | |
| Not Available |
| Full Name | Kristen Coburn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 120 E Howard St, Driggs, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437342805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP-818A (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Teton Valley Hospital | Driggs, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Teton Valley Health Care Inc | 3870744956 | 31 |
| Entity Name | Teton Valley Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013264183 PECOS PAC ID: 3870744956 Enrollment ID: O20121128000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Coburn, FNP/C 391 N 1st E, Driggs, ID 83422-5162 Ph: (208) 354-2475 | Kristen Coburn, FNP/C 120 E Howard St, Driggs, ID 83422-5112 Ph: (208) 354-2383 |
Dr. Debra M Whipple, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3246 N 1500 E, Driggs, ID 83422 Phone: 801-814-7567 | |
Anna Giemza-palmer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Howard St, Driggs, ID 83422 Phone: 208-607-7040 Fax: 208-441-2208 | |
Anne Marie Omalley-neuhaus, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 East Howard Avenue, Teton Valley Health Care, Driggs, ID 83422 Phone: 208-354-6302 Fax: 208-354-3158 | |
Lyudmyla Norgart, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 E Little Ave, Driggs, ID 83422 Phone: 208-354-8220 Fax: 208-561-7457 | |
Sandra Nelson Woolstenhulme, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Howard St, Driggs, ID 83422 Phone: 208-354-2383 | |
Mrs. Deborah L. Barros, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 283 N 1st East, Driggs Health Clinic, Driggs, ID 83422 Phone: 208-354-2302 Fax: 208-354-8392 |