SIMPLY WOMENS HEALTH LLC NPI 1013256379

NPI Information

NPI: 1013256379
Provider Name: SIMPLY WOMENS HEALTH LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 13D2058938

Address:
219 S WOODDALE AVE
EAGLE, ID
ZIP 83616
Phone: (089) 945-5752
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SIMPLY WOMENS HEALTH LLC is an adult health nurse practitioner in Eagle, ID. SIMPLY WOMENS HEALTH LLC NPI is 1013256379. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

219 S WOODDALE AVE
EAGLE, ID
ZIP 83616-714
Phone: (089) 945-5752
Fax: (208) 994-5576

The provider's authorized official is Ana Laborde .
The authorized official title is Owner/provider and has the following contact phone number (208) 994-5575.

The CLIA number assigned to this NPI record is 13D2058938 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/6/2013 and was last updated on 10/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	N-27344	IDAHO	No
2	363LG0600X	Nurse Practitioner	Gerontology			No
3	363LA2200X	Nurse Practitioner	Adult Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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