Life Spring Women's Clinic, P.a.

NPI 1265635346 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1265635346
Enumeration Date 06/07/2007
Last Updated 09/13/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CRAIG Z. CRAIG
Position PRESIDENT
Phone (208) 523-8844
Fax
Practice Location
1660 JOHN ADAMS PKWY
IDAHO FALLS ID, 83401-4360, US
Phone (208) 523-8844
Fax
Business Location
1660 JOHN ADAMS PKWY
IDAHO FALLS ID, 83401-4360, US
Phone (208) 523-8844
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Indiana
License Number NP-253A
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According to our database, Life Spring Women's Clinic, P.a. NPI is 1265635346, taxonomy code is 363L00000X and license number is NP-253A, license state is located at Indiana. Life Spring Women's Clinic, P.a. physically located at 1660 John Adams Pkwy, Idaho Falls ID, 83401-4360. NPI Number 1033115704 has the healthcare provider type.

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1265635346 NPI number is provided on an as is basis without warranty of any kind. 1265635346 is maintained by the National Plan & Provider Enumeration System. The contents of Life Spring Women's Clinic, P.a. are for informational purposes only.