Active Family Healthcare Pllc

NPI #1063764462 in Coeur D Alene, Idaho

Provider Information

NPI Number
1063764462
Entity Type
Organization
Organization Name
Active Family Healthcare Pllc
Primary Specialty
Family Medicine
Enumeration Date
Oct 9, 2012
Last Updated
Mar 3, 2025

Practice Location

Address
919 W CANFIELD AVE
State
Idaho
ZIP Code
83815-9764
Phone
(208) 758-0560

Authorized Official

Name
DR. JENNIFER FLETCHER, NP
Title
OWNER NURSE PRACTIONER
Phone
(208) 758-0560

Specialties & Taxonomy Codes

Specialty
Family Medicine

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