Ms. Sally Kupchock
NP | Nurse Practitioner
1182 E 21st St, Idaho Falls
Idaho, 83404-7003
208-227-6753
May or may not accept Medicare Nurse Anesthetist in Idaho Falls, Idaho.Ms. Sally Kupchock is a Idaho Falls, Idaho based nurse practitioner. Active license number of Ms. Sally Kupchock is NP737A in Idaho. Her current practice location is 1182 E 21st St, Idaho Falls. Patients can reach her at 208-227-6753. Ms. Sally Kupchock is NP and her NPI number (Unique professional ID assigned by NPPES) is 1063446094.
Ms. Sally Kupchock has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Sally Kupchock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Sally Kupchock |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 1182 E 21st St, Idaho Falls, Idaho, 83404-7003 |
| Phone: | 208-227-6753 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1063446094 |
| NPI Enumeration Date: | 10 Jul, 2006 |
| NPI Last Update On: | 30 Nov, 2007 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Sally Kupchock are as mentioned below.
| License Number | Specialization | State | Status | |
| NP737A | | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Sally Kupchock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| NPXT3 | Other | Idaho | BLUE CROSS ID |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Sally Kupchock 1182 E 21st St, Idaho Falls, Idaho |
| Zip: | 83404-7003 |
| Phone Number: | 208-227-6753 |
Patients can reach Ms. Sally Kupchock at
1182 E 21st St, Idaho Falls, Idaho or can
call to book an appointment on 208-227-6753.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.