Organization · Type 2 NPI
Shadow Pines Health & Wellness LLC
Primary Care Clinic/Center · Eagle, ID
NPI number
1851094619
Active
Practice location
408 S Eagle Rd Ste 205
Eagle, ID 83616-6079
Fax (984) 355-0375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
6 other providers at this address
- Balanced Bites Nutrition LLCObesity and Weight Management Nutrition Registered Dietitian Eagle, ID NPI 1114709573
- Heather L. Glaza, LCPCMental Health Counselor Eagle, ID NPI 1750438388
- Joslyn Sciarrino, FNP-CFamily Nurse Practitioner Eagle, ID NPI 1194275693
- Laura Michelle McDermott, MDPediatrics Physician Eagle, ID NPI 1942596606
- Marlo Pichardo, PACPhysician Assistant Eagle, ID NPI 1699842021
- Spring Chumani Bean, RDRegistered Dietitian Eagle, ID NPI 1053640268
Other primary care clinic/center providers in Eagle
About NPI 1851094619
Shadow Pines Health & Wellness LLC's National Provider Identifier is 1851094619, issued on Mar 22, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Eagle, ID. The record was last updated on Mar 22, 2023.