MR. RANDY VAWDREY, NP

Nurse Practitioner - Primary Care

Active Individual
NPI: 1376568493

Practice Address

495 YELLOWSTONE AVE
Pocatello, ID 83201

Phone: (208) 478-7422

Specialties

Specialty Code Primary License
Nurse Practitioner - Primary Care 363LP2300X Yes NP-659 (ID)

Frequently Asked Questions

NPI 1376568493 is the National Provider Identifier for MR. RANDY VAWDREY, NP, a Nurse Practitioner - Primary Care provider located in Pocatello, ID. This NPI was enumerated on July 12, 2006.
MR. RANDY VAWDREY, NP practices at 495 YELLOWSTONE AVE, Pocatello, ID 83201.

Quick Facts

NPI
1376568493
Type
Individual
Enumerated
Jul 12, 2006
Last Updated
Jul 9, 2007

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