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Contact Information

SAMANTHA DE BRUYN KOPS, APRN, FNP-C
2065 E 17TH ST STE C
IDAHO FALLS, ID83404-8042
 Phone: 208-522-6106
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SAMANTHA DE BRUYN KOPS · (Female)

NPI Number 1730744947
Status Active
Credentials APRN, FNP-C
Entity Individual
Enumeration date 05/02/2019
Last updated 02/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 61296
Hospital affiliation(s)
  • LOST RIVERS DISTRICT HOSPITAL - (Critical Access)
    551 HIGHLAND DRIVE
    ARCO, ID 83213
  • MOUNTAIN VIEW HOSPITAL - (Acute Care)
    2325 CORONADO STREET
    IDAHO FALLS, ID 83404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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