# SIMPLY WOMENS HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013256379
- **Authorized official:** ANA LABORDE AGNP-BC (OWNER/PROVIDER)
- **Authorized official phone:** (208) 994-5575

## Contact information

- **Practice address:** 219 S WOODDALE AVE, EAGLE, ID 83616-7714
- **Practice address phone:** (089) 945-5752
- **Practice address fax:** (208) 994-5576
- **Mailing address:** PO BOX 1278, EAGLE, ID 83616-1278
- **Mailing address phone:** (208) 994-5575
- **Mailing address fax:** (208) 994-5576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VG0400X | Gynecology Physician | N-27344 | ID | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/06/2013
- **Last updated:** 10/04/2022
