# KUNA HEALTHCARE CLINIC, PLLC

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

## Provider details

- **NPI number:** 1114489788
- **Authorized official:** CLAYLEEN JO HARRINGTON FNP (OWNER)
- **Authorized official phone:** (208) 565-0978

## Contact information

- **Practice address:** 943 N LINDER RD STE 103, KUNA, ID 83634-3395
- **Practice address phone:** (208) 565-0978
- **Practice address fax:** (208) 902-3834
- **Mailing address:** 943 N LINDER RD STE 103, KUNA, ID 83634-3395
- **Mailing address phone:** (208) 565-0978
- **Mailing address fax:** (208) 902-3834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2019
- **Last updated:** 04/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | IDTPID013642 | — | ID |