LITTLE ANGELS NPI 1336408632

NPI Information

NPI: 1336408632
Provider Name: LITTLE ANGELS

Doing Business As: N/A

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
1680 WOODRUFF PARK
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 313-0711
Get Directions

LITTLE ANGELS is a child and adolescent psychiatry psychiatry neurology in Idaho Falls, ID. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. LITTLE ANGELS NPI is 1336408632. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As N/a.

The provider's business location address is:

1680 WOODRUFF PARK
IDAHO FALLS, ID
ZIP 83401-330
Phone: (208) 313-0711

The provider's authorized official is Lisa Renea Cruz .
The authorized official title is Owner and has the following contact phone number (208) 313-0711.

The enumeration date for this NPI number is 5/8/2012 and was last updated on 2/1/2013.

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	2084P0800X	Psychiatry & Neurology	Psychiatry	M-9188	IDAHO	No
2	363A00000X	Physician Assistant		PA-334	IDAHO	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry			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

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