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MAGNO C. SANTOS MSN, FNP-C PLLC

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Company Details

Name: MAGNO C. SANTOS MSN, FNP-C PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Sep 2019 (6 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 3624639
Place of Formation: IDAHO
File Number: 681128
ZIP code: 83404
County: Bonneville County
Principal Address: #283 2184 CHANNING WAY IDAHO FALLS, ID 83404
Mailing Address: 2184 CHANNING WAY # 283 IDAHO FALLS, ID 83404-8034

Agent

Name Role Address
MAGNO C SANTOS Agent 2184 CHANNING WAY, # 283, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
MAGNO C SANTOS Manager 2184 CHANNING WAY, IDAHO FALLS, ID 83404 2020-08-04

National Provider Identifier

NPI Number:
1851998710
Certification Date:
2022-12-16

Authorized Person:

Name:
MAGNO C SANTOS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2086158005

Filing

Filing Name Filing Number Filing date
Annual Report 0005849704 2024-08-06
Annual Report 0005354902 2023-08-07
Annual Report 0004840439 2022-08-03
Annual Report 0004370649 2021-08-05
Annual Report 0003956423 2020-08-04

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State