Organization
NORTH HAVEN AESTHETICS & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY SIEGER FNP-C (OWNER)
(208) 994-5575
Entity
Organization
Contact information
Practice address
219 S WOODDALE AVE, EAGLE, ID 83616-7714
(208) 994-5575
Mailing address
219 S WOODDALE AVE, EAGLE, ID 83616-7714
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
06/04/2026
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