LIFESPAN PRIMARY CARE LLC NPI 1023189800

NPI Information

NPI: 1023189800
Provider Name: LIFESPAN PRIMARY CARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
224 MARTIN ST
SUITE B
TWIN FALLS, ID
ZIP 83301
Phone: (208) 736-7090
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LIFESPAN PRIMARY CARE LLC is a family nurse practitioner in Twin Falls, ID. LIFESPAN PRIMARY CARE LLC NPI is 1023189800. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

224 MARTIN ST
SUITE B
TWIN FALLS, ID
ZIP 83301-542
Phone: (208) 736-7090
Fax: (208) 736-7089

The provider's authorized official is Beverly Ann Hall .
The authorized official title is Owner and has the following contact phone number (208) 736-7090.

The enumeration date for this NPI number is 11/13/2006 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	NP717A	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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