Fresh Aesthetics Medical Spa

LBN: Fresh Aesthetics Medical Spa
Fresh Aesthetics Medical Spa is an health care organization with primary practice located at 1411 Falls Ave E Ste 105 , Twin Falls ID 83301-3455. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as the primary health care specialty. Fresh Aesthetics Medical Spa can be contacted via phone (208) 358-3637, or through Stanger, Angela via phone (208) 358-3637.

Contact Information

Primary practice address
1411 Falls Ave E Ste 105 Twin Falls ID 83301-3455
Phone: (208) 358-3637
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stanger, Angela AGPCNP
Phone: (208) 358-3637

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X

Profile Details

NPI number 1174105431
LBN Legal business name Fresh Aesthetics Medical Spa
DBA Doing business as
Authorized official Stanger, Angela AGPCNP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2021
Last updated Apr 26th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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