Functional Medicine of North Idaho, PLLC
Functional Medicine of North Idaho, PLLC is a Clinic/Center in Hayden, Idaho. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8382 N Wayne Dr Ste 204Hayden, ID 83835-6028
Phone: (208) 635-5265
Fax: (208) 635-5218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1750920401 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessica Laplante — Owner · (208) 635-5265 |
| NPI enumerated | December 29, 2019 |
| Last updated in NPPES | July 1, 2024 |
| Certification date | July 1, 2024 |
| Mailing address | 1399 N Biztown Loop, Hayden, ID 83835-5044 |
Other providers in Hayden
-
Well Clinic LLC
579 W Hayden Ave, Hayden, ID 83835-9726 · (208) 772-6015