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

North Haven Aesthetics & Wellness

Organization Family Nurse Practitioner · NPI 1063343705

North Haven Aesthetics & Wellness is a Family Nurse Practitioner in Eagle, Idaho. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

219 S Wooddale Ave
Eagle, ID 83616-7714
Phone: (208) 994-5575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1063343705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Sieger — Owner · (208) 994-5575
NPI enumeratedMay 28, 2026
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address219 S Wooddale Ave, Eagle, ID 83616-7714

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