Provider Demographics
NPI:1720610108
Name:ARMBRUSTER, JOSEPH LEE (MSN, RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:LEE
Last Name:ARMBRUSTER
Suffix:
Gender:M
Credentials:MSN, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3807 E 120 N
Mailing Address - Street 2:
Mailing Address - City:RIGBY
Mailing Address - State:ID
Mailing Address - Zip Code:83442-4930
Mailing Address - Country:US
Mailing Address - Phone:775-389-9559
Mailing Address - Fax:
Practice Address - Street 1:187 E 13TH ST
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-5305
Practice Address - Country:US
Practice Address - Phone:208-497-0500
Practice Address - Fax:775-738-7641
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV828416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily