# BALANCE REGENERATIVE MEDICINE PLLC

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

## Provider details

- **NPI number:** 1568136299
- **Authorized official:** ERICA ANN CAMERON NP (OWNER)
- **Authorized official phone:** (208) 539-3155

## Contact information

- **Practice address:** 260 FALLS AVE STE B, TWIN FALLS, ID 83301-3370
- **Practice address phone:** (208) 539-3155
- **Practice address fax:** (833) 505-2716
- **Mailing address:** 260 FALLS AVE STE B, TWIN FALLS, ID 83301-3370
- **Mailing address phone:** (208) 539-3155
- **Mailing address fax:** (833) 505-2716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/05/2021
- **Last updated:** 05/16/2024