Restored Health Pllc

NPI #1790045953 in Hayden, Idaho

Provider Information

NPI Number: 1790045953
Entity Type: Organization
Organization Name: Restored Health Pllc
Primary Specialty: Registered Nurse
Enumeration Date: May 22, 2012
Last Updated: May 22, 2012

Practice Location

Address: 579 W HAYDEN AVE
City: Hayden
State: Idaho
ZIP Code: 83835-9726
Phone: (208) 660-9335

Authorized Official

Name: LISA IRVING, REGISTERED NURSE
Title: OWNER
Phone: (208) 660-9335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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