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

Life Spring Women's Clinic, PA

Organization Physician Assistant · NPI 1265635346

Life Spring Women's Clinic, PA is a Physician Assistant in Idaho Falls, Idaho. Licensed in Idaho and Indiana. Registered with an NPI since 2007.

Licensed in
ID, IN
In the registry since
2007
Specialties on file
2
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

1660 John Adams Pkwy
Idaho Falls, ID 83401-4360
Phone: (208) 523-8844
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence RPA-214 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence NP-253A (IN)

Record details

NPI number1265635346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Hall — President · (208) 523-8844
NPI enumeratedJune 7, 2007
Last updated in NPPESSeptember 13, 2007
Mailing address1660 John Adams Pkwy, Idaho Falls, ID 83401-4360

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