SONSHINE FAMILY HEALTH CLINIC LLC NPI 1669682381

NPI Information

NPI: 1669682381
Provider Name: SONSHINE FAMILY HEALTH CLINIC, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2308 N COLE RD STE H
BOISE, ID
ZIP 83704
Phone: (208) 375-8806
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SONSHINE FAMILY HEALTH CLINIC, LLC is a family nurse practitioner in Boise, ID. SONSHINE FAMILY HEALTH CLINIC, LLC NPI is 1669682381. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2308 N COLE RD STE H
BOISE, ID
ZIP 83704-361
Phone: (208) 375-8806
Fax: (208) 375-8826

The provider's authorized official is Tamara Faye Bethel .
The authorized official title is Member and has the following contact phone number (208) 375-8806.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/22/2020.

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	363LF0000X	Nurse Practitioner	Family	NP524A	IDAHO	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: 11/14/2023

NPI Synchronization or Removal

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