Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Idaho Wound Care LLC

Organization Family Nurse Practitioner · NPI 1407748510

East Idaho Wound Care LLC is a Family Nurse Practitioner in Idaho Falls, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1005 Terry Dr
Idaho Falls, ID 83404-5122
Phone: (208) 541-8879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1407748510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Croft — Np · (208) 541-8879
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address1005 Terry Dr, Idaho Falls, ID 83404-5122

Other providers in Idaho Falls