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Organization
SIMPLY WOMENS HEALTH LLC
Active
Organization
SIMPLY WOMENS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA LABORDE AGNP-BC (OWNER/PROVIDER)
(208) 994-5575
Entity
Organization
Contact information
Practice address
219 S WOODDALE AVE, EAGLE, ID 83616-7714
(089) 945-5752
(208) 994-5576
Mailing address
PO BOX 1278, EAGLE, ID 83616-1278
(208) 994-5575
(208) 994-5576
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
N-27344
ID
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
02/06/2013
Last updated
10/04/2022
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