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

Ironwood Family Practice, PA

Organization Family Medicine Physician · NPI 1083650931

Ironwood Family Practice, PA is a Family Medicine Physician in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3815 N Schreiber Way Unit 102
Coeur D Alene, ID 83815-8434
Phone: (208) 667-4557
Fax: (208) 765-2887
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (ID)

Record details

NPI number1083650931
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nina Everson — Executive Director · (208) 667-4557
NPI enumeratedJune 21, 2006
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025
Mailing address3815 N Schreiber Way Unit 102, Coeur D Alene, ID 83815-8434

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