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Functional Medicine Of North Idaho, Pllc
Nurse Practitioner in Hayden, Idaho
NPI 1750920401

Functional Medicine Of North Idaho, Pllc is a Nurse Practitioner based in Hayden, ID. Functional Medicine Of North Idaho, Pllc practices in Hayden, ID. The NPI Number for Functional Medicine Of North Idaho, Pllc is 1750920401 and holds a License No. (Idaho).

The current practice location address for Functional Medicine Of North Idaho, Pllc is 1399 N Biztown Loop, Hayden, ID and can be reached out via phone at 208-660-7598.

Location: 1399 N Biztown Loop, Hayden, ID, 83835-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750920401
Provider Name
Functional Medicine Of North Idaho, Pllc
Credential
Provider Entity Type
Organization
Address
1399 N Biztown Loop, Hayden, ID, 83835-5044
Phone Number
208-660-7598
Fax Number
Provider Enumeration Date
12/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1399 N Biztown Loop
City
Hayden
State
Idaho
Zip
83835-5044
Phone Number
208-660-7598
Fax Number
person
Provider Business Mailing Address Details
Address
1399 N Biztown Loop
City
Hayden
State
Idaho
Zip
83835-5044
Phone Number
208-660-7598
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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