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

Inlande Empire Gymnastics Association

Organization Primary Care Nurse Practitioner · NPI 1124825724

Inlande Empire Gymnastics Association is a Primary Care Nurse Practitioner in Coeur D Alene, Idaho. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6360 N Sunshine St
Coeur D Alene, ID 83815-8699
Phone: (208) 635-5623
Fax: (208) 601-6153
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1124825724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashton Noel Underdahl — Strategist · (208) 691-0691
Other names Avant Coeur Gymnastics
NPI enumeratedMarch 1, 2025
Last updated in NPPESMarch 1, 2025
Certification dateMarch 1, 2025
Mailing address6360 N Sunshine St, Coeur D Alene, ID 83815-8699

Other providers in Coeur D Alene