PREVENTATIVE HEALTH NPI 1922377027

NPI Information

  • NPI: 1922377027
  • Provider Name: PREVENTATIVE HEALTH
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 531 S FITNESS PL STE 100
    EAGLE, ID
    ZIP 83616
  • Phone: (208) 853-2273

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NPI Details

PREVENTATIVE HEALTH is a family nurse practitioner in Eagle, ID. PREVENTATIVE HEALTH NPI is 1922377027. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

531 S FITNESS PL STE 100
EAGLE, ID
ZIP 83616-552
Phone: (208) 853-2273

The provider's authorized official is Danielle Bennion .
The authorized official title is Owner and has the following contact phone number (208) 853-2273.

The enumeration date for this NPI number is 12/19/2011 and was last updated on 4/10/2017.

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
1208D00000XGeneral PracticeNo
2291U00000XClinical Medical LaboratoryNo
3363LF0000XNurse PractitionerFamilyYes

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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