ILLUMINATION WOMEN'S HEALTH PLLC NPI 1447032594

NPI Information

NPI: 1447032594
Provider Name: ILLUMINATION WOMEN'S HEALTH PLLC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

Address:
4477 W EMERALD ST STE C200
BOISE, ID
ZIP 83706
Phone: (208) 780-9295
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ILLUMINATION WOMEN'S HEALTH PLLC is a women's health nurse practitioner in Boise, ID. ILLUMINATION WOMEN'S HEALTH PLLC NPI is 1447032594. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4477 W EMERALD ST STE C200
BOISE, ID
ZIP 83706-074
Phone: (208) 780-9295
Fax: (855) 490-9559

The provider's authorized official is Kandiss Inman .
The authorized official title is Nurse Practitioner/owner and has the following contact phone number (208) 780-9295.

The enumeration date for this NPI number is 10/13/2023 and was last updated on 2/17/2024.

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	363LW0102X	Nurse Practitioner	Women's 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: 5/5/2024

NPI Synchronization or Removal

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