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FAMILY AND ADOLESCENT CARE OF TWIN FALLS PA NPI 1477816809


NPI Information

NPI: 1477816809
Provider Name: FAMILY AND ADOLESCENT CARE OF TWIN FALLS PA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 13D2044290

Address:
476 CHENEY DRIVE WEST
SUITE 160
TWIN FALLS, ID
ZIP 83301
Phone: (208) 944-0497
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FAMILY AND ADOLESCENT CARE OF TWIN FALLS PA is a family nurse practitioner in Twin Falls, ID. FAMILY AND ADOLESCENT CARE OF TWIN FALLS PA NPI is 1477816809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

476 CHENEY DRIVE WEST
SUITE 160
TWIN FALLS, ID
ZIP 83301
Phone: (208) 944-0497
Fax: (208) 944-0506

The provider's authorized official is Roanne Mancari .
The authorized official title is Owner and has the following contact phone number (208) 731-6971.

The CLIA number assigned to this NPI record is 13D2044290 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2012 and was last updated on 8/26/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNP-986AIDAHOYes

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

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