AESTHETIC CONCEPTS LLC NPI 1871734293

NPI Information

NPI: 1871734293
Provider Name: AESTHETIC CONCEPTS LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2860 CHANNING WAY STE 224
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 529-6430
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AESTHETIC CONCEPTS LLC is a family nurse practitioner in Idaho Falls, ID. AESTHETIC CONCEPTS LLC NPI is 1871734293. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2860 CHANNING WAY STE 224
IDAHO FALLS, ID
ZIP 83404-541
Phone: (208) 529-6430
Fax: (208) 529-6428

The provider's authorized official is Lisa June Zajanc .
The authorized official title is Owner Nurse Practitioner and has the following contact phone number (208) 529-6430.

The enumeration date for this NPI number is 3/13/2009 and was last updated on 3/13/2009.

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	NP 669-A	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: 4/28/2024

NPI Synchronization or Removal

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