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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLUE LAKES MEDICINE PA

Active Organization

BLUE LAKES MEDICINE PA is a Family Nurse Practitioner organization located in TWIN FALLS, Idaho. NPI 1063872489 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · TWIN FALLS, ID

Registration Details

NPI Number
1063872489
Provider Type
Organization
NPI Issued
Feb 26, 2016 (10.47226240739 yrs)
Last Updated
Feb 26, 2016
License
NP-1688A (ID)

Practice Information

Address
1122 EASTLAND DR N
STE 2
TWIN FALLS, ID, 833018444
Browse ID providers · Browse ZIP 83301
Phone
2087349531
Fax
2087336969
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Organizations in TWIN FALLS, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.