Organization
INLANDE EMPIRE GYMNASTICS ASSOCIATION
Active
Other names
Avant Coeur Gymnastics
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON NOEL UNDERDAHL (STRATEGIST)
(208) 691-0691
Entity
Organization
Contact information
Practice address
6360 N SUNSHINE ST, COEUR D ALENE, ID 83815-8699
(208) 635-5623
(208) 601-6153
Mailing address
6360 N SUNSHINE ST, COEUR D ALENE, ID 83815-8699
(208) 635-5623
(208) 601-6153
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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