Organization · Type 2 NPI
Lifespan Primary Care LLC
Family Nurse Practitioner · Twin Falls, ID
NPI number
1023189800
Active
Practice location
224 Martin St, Suite B
Twin Falls, ID 83301-4542
Fax (208) 736-7089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP717A (ID) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1023189800
Lifespan Primary Care LLC's National Provider Identifier is 1023189800, issued on Nov 13, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Twin Falls, ID. The record was last updated on Aug 22, 2020.