ENHANCED AESTHETICS AND WELLNESS
NPI 1073382636
Clinic/Center in Eagle, ID

Active since December 25, 2023
367 S ACADEMY LN, EAGLE, ID 83616(985) 778-7582 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Enhanced Aesthetics And Wellness NPPES

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

ENHANCED AESTHETICS AND WELLNESS (NPI 1073382636) is a healthcare organization registered as a clinic/center in Eagle, Idaho and active in the NPI registry since December 2023. The organization lists Alexandria Green, Owner / Provider, as its authorized official.

NPPES Registry Identity

NPI1073382636
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameENHANCED AESTHETICS AND WELLNESS
Location Address367 S ACADEMY LNEagle, ID 83616-7470
Mailing Address367 S Academy LnEagle, ID 83616-7470 · (985) 778-7582
Organization SubpartNo
Authorized OfficialAlexandria GreenOwner / Provider · (985) 778-7582
Enumeration DateDecember 25, 2023
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
NPI 1073382636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
367 S ACADEMY LN, Eagle, ID 83616

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
367 S ACADEMY LN
EAGLE, ID 83616

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 Enhanced Aesthetics And Wellness's NPI number?

The NPI number for Enhanced Aesthetics And Wellness is 1073382636. It was assigned to this organization in the NPPES registry on December 25, 2023.

Where is Enhanced Aesthetics And Wellness located?

Enhanced Aesthetics And Wellness is located at 367 S Academy Ln, Eagle, ID 83616. The listed phone number is (985) 778-7582.

What is Enhanced Aesthetics And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Enhanced Aesthetics And Wellness was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.