Northstar Healthcare Llc in Idaho Falls - Nurse Practitioner
Northstar Healthcare Llc - NPI 1598849051
Northstar Healthcare Llc is a Nurse Practitioner in Idaho Falls, Idaho. Northstar Healthcare Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Northstar Healthcare Llc is 1598849051. The last update date is 2012-02-03.
Northstar Healthcare Llc's current location address is 1995 E 17th St, Idaho Falls, Idaho. You can contact this provider via phone number 2085292352 and fax number 2085283332. The mailing address for Northstar Healthcare Llc is 1995 E 17th St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northstar Healthcare Llc |
|---|---|
| Address | 1995 E 17th St, Idaho Falls, Idaho |
| Phone Number | 2085292352 |
| Fax Number | 2085283332 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/FNPC |
|---|---|
| Authorized Official Name | Mason J. Laura |
| Credentials | FNPC |
| Telephone Number | 2085292352 |
NPI Number Detail
| NPI Number | 1598849051 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2012-02-03 |
Provider Mailing Address Detail
| Address | 1995 E 17th St |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834046493 |
| Phone Number | 2085292352 |
| Fax Number | 2085283332 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
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 certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806924200 | ID | -- | |
| 807185300 | ID | -- | |
| DC1808 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Northstar Healthcare Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Northstar Healthcare Llc has been assigned the NPI (National Provider Identifier) 1598849051. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Northstar Healthcare Llc is physically located?
The Northstar Healthcare Llc is physically situated at the following address: 1995 E 17Th St, Idaho Falls, ID, 834046493.
What is the Northstar Healthcare Llc's specialty and taxonomy code?
The Northstar Healthcare Llc's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did Northstar Healthcare Llc receive its 1598849051 assignment from the Centers for Medicare & Medicaid Services?
The Northstar Healthcare Llc was assigned its 1598849051 on 2006-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Northstar Healthcare Llc most recently updated?
The details pertaining to the Northstar Healthcare Llc, including its address, specialty, and other relevant information, were last refreshed on 2012-02-03.
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