NURTURE LACTATION SUPPORT FOR WOMEN & INFANTS NPI 1740750710

NPI Information

NPI: 1740750710
Provider Name: NURTURE LACTATION SUPPORT FOR WOMEN & INFANTS
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
5480 GLENEAGLES DR
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 569-9031
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NURTURE LACTATION SUPPORT FOR WOMEN & INFANTS is a pediatrics nurse practitioner in Idaho Falls, ID. NURTURE LACTATION SUPPORT FOR WOMEN & INFANTS NPI is 1740750710. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5480 GLENEAGLES DR
IDAHO FALLS, ID
ZIP 83401-315
Phone: (208) 569-9031

The provider's authorized official is Kristie Karroum .
The authorized official title is Provider and has the following contact phone number (208) 569-9031.

The enumeration date for this NPI number is 12/3/2018 and was last updated on 12/3/2018.

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	363LP0200X	Nurse Practitioner	Pediatrics			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FNP57631	OTHER	IDAHO	LICENSE

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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