Organization · Type 2 NPI

Fountain Hills Medical & Home Health Agency LLC

Nurse Practitioner · Lewiston, ID

NPI number 1942023213 Active

Practice location

1705 11th St
Lewiston, ID 83501-3932

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (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 wit…

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About NPI 1942023213

Fountain Hills Medical & Home Health Agency LLC's National Provider Identifier is 1942023213, issued on Nov 5, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lewiston, ID. The record was last updated on Jul 27, 2026.