Organization · Type 2 NPI
East Idaho Wound Care LLC
Family Nurse Practitioner · Idaho Falls, ID
NPI number
1407748510
Active
Practice location
1005 Terry Dr
Idaho Falls, ID 83404-5122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1407748510
East Idaho Wound Care LLC's National Provider Identifier is 1407748510, issued on Jul 15, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 15, 2025.