Functional Medicine of North Idaho, Pllc

NPI #1750920401 in Hayden, Idaho

Provider Information

NPI Number
1750920401
Entity Type
Organization
Organization Name
Functional Medicine of North Idaho, Pllc
Primary Specialty
Nurse Practitioner
Enumeration Date
Dec 29, 2019
Last Updated
Jul 1, 2024

Practice Location

Address
8382 N WAYNE DR STE 204
City
Hayden
State
Idaho
ZIP Code
83835-6028
Phone
(208) 635-5265

Authorized Official

Name
JESSICA LAPLANTE, ARNP
Title
OWNER
Phone
(208) 635-5265

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Nurse Practitioner

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