Organization
WOUND & SKIN CARE OF IDAHO LLC
Active
Organization
WOUND & SKIN CARE OF IDAHO LLC
Active
Parent organization
WOUND CARE OF WYOMING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOUND CARE OF WYOMING LLC
Authorized official
CHRISTINA LAIRD-ROGERS FNP-C (CEO)
(307) 259-9269
Entity
Organization
Contact information
Practice address
1542 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(986) 275-0142
(307) 333-0299
Mailing address
1542 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(986) 275-0142
(307) 333-0299
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
364SC2300X
Chronic Care Clinical Nurse Specialist
—
—
Other
Enumeration date
03/31/2026
Last updated
07/17/2026
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