BALANCE REGENERATIVE MEDICINE PLLC NPI 1568136299

NPI Information

  • NPI: 1568136299
  • Provider Name: BALANCE REGENERATIVE MEDICINE PLLC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • CLIA Number: 13D2243112
  • Address: 260 FALLS AVE STE B
    TWIN FALLS, ID
    ZIP 83301
  • Phone: (208) 539-3155

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NPI Details

BALANCE REGENERATIVE MEDICINE PLLC is a nurse practitioner in Twin Falls, ID. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. BALANCE REGENERATIVE MEDICINE PLLC NPI is 1568136299. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

260 FALLS AVE STE B
TWIN FALLS, ID
ZIP 83301-370
Phone: (208) 539-3155
Fax: (833) 505-2716

The provider's authorized official is Erica Ann Cameron .
The authorized official title is Owner and has the following contact phone number (208) 539-3155.

The CLIA number assigned to this NPI record is 13D2243112 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2021 and was last updated on 5/16/2024.

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
1363L00000XNurse PractitionerYes
2363LP2300XNurse PractitionerPrimary CareNo

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: 11/21/2025

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