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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTH HAVEN AESTHETICS & WELLNESS PLLC
NPI 1063343705
Nurse Practitioner - Family in Eagle, ID

Active since May 28, 2026
219 S WOODDALE AVE, EAGLE, ID 83616(208) 994-5575 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 31, 2026, Aug 27, 2026, Jun 4, 2026 and 1 more (4 updates tracked since 2026).

About North Haven Aesthetics & Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH HAVEN AESTHETICS & WELLNESS PLLC (NPI 1063343705) is a healthcare organization registered as a family in Eagle, Idaho and active in the NPI registry since May 2026. The organization lists Kelsey Sieger, Owner, as its authorized official.

NPPES Registry Identity

NPI1063343705
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNORTH HAVEN AESTHETICS & WELLNESS PLLC
Location Address219 S WOODDALE AVEEagle, ID 83616-7714
Mailing Address10400 W Overland RdBoise, ID 83709-1433
Phone(208) 994-5575
Organization SubpartNo
Authorized OfficialKelsey SiegerOwner · (208) 994-5575
Enumeration DateMay 28, 2026
Last NPPES UpdateAugust 31, 20264 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1063343705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
219 S WOODDALE AVE, Eagle, ID 83616
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIMPLY WOMENS HEALTH LLC
Nurse Practitioner (Adult Health)
219 S WOODDALE AVE
EAGLE, ID 83616
Ada County (089) 945-5752
C&A HEALTHCARE PLLC
Nurse Practitioner (Adult Health)
219 S WOODDALE AVE
EAGLE, ID 83616
Ada County (208) 994-5575
ONYX HEALTH & MED
Clinic/Center (Health Service)
219 S WOODDALE AVE
EAGLE, ID 83616
Ada County (208) 391-3877
KELSEY SIEGER FNP-C
Nurse Practitioner (Family)
219 S WOODDALE AVE
EAGLE, ID 83616
Ada County (208) 994-5575
JONATHAN SUBAITANI PA-C
Physician Assistant
219 S WOODDALE AVE
EAGLE, ID 83616
Ada County (703) 928-7266
ANA LINDA LABORDE AGNP-BC
Nurse Practitioner (Adult Health)
219 S WOODDALE AVE
EAGLE, ID 83616
Ada County (208) 994-5575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Haven Aesthetics & Wellness PLLC's NPI number?

The NPI number for North Haven Aesthetics & Wellness PLLC is 1063343705. It was assigned to this organization in the NPPES registry on May 28, 2026.

Where is North Haven Aesthetics & Wellness PLLC located?

North Haven Aesthetics & Wellness PLLC is located at 219 S Wooddale Ave, Eagle, ID 83616. The listed phone number is (208) 994-5575.

What is North Haven Aesthetics & Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for North Haven Aesthetics & Wellness PLLC was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.