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DNA WITH TINA LLC
NPI 1306105598
Nurse Practitioner - Women's Health in Pocatello, ID

Active since May 09, 2012
1951 BENCH RD, POCATELLO, ID 83201(208) 240-4785 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dna With Tina Llc NPPES

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

DNA WITH TINA LLC (NPI 1306105598) is a healthcare organization registered as a women's health in Pocatello, Idaho and active in the NPI registry since May 2012. The organization lists Christine Fuhrman Mladenka, Owner, as its authorized official.

NPPES Registry Identity

NPI1306105598
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameDNA WITH TINA LLC
Location Address1951 BENCH RDPocatello, ID 83201-2073
Mailing Address1951 Bench RdPocatello, ID 83201-2073 · (208) 240-4785
Phone(208) 240-4785
Organization SubpartNo
Authorized OfficialChristine Fuhrman MladenkaOwner · (208) 240-4785
Enumeration DateMay 9, 2012
Last NPPES UpdateSeptember 25, 2012
✔ NPI 1306105598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
1951 BENCH RD, Pocatello, ID 83201
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

ZACHARY BRYANT WARNOCK M.D.
Family Medicine
1951 BENCH RD, SUITE B
POCATELLO, ID 83201
Bannock County (208) 238-1000
NICOLETTE HAMPTON NP-C
Nurse Practitioner (Family)
1951 BENCH RD, STE B
POCATELLO, ID 83201
Bannock County (208) 238-1000
FAMILY PRACTICE GROUP, P.A.
Family Medicine
1951 BENCH RD, SUITE B
POCATELLO, ID 83201
Bannock County (208) 238-1000
BRANDON C MICKELSEN D.O.
Family Medicine
1951 BENCH RD, SUITE B
POCATELLO, ID 83201
Bannock County (208) 238-1000
HIGHLAND PHYSICAL THERAPY LLC
Physical Therapist
1951 BENCH RD, SUITE E
POCATELLO, ID 83201
Bannock County (208) 237-2080
DIAGNOSTIC IMAGING SERVICE OF IDAHO
Radiologic Technologist (Radiography)
1951 BENCH RD, SUITE F
POCATELLO, ID 83201
Bannock County (208) 237-0977
MANDY SMITH PTA
Physical Therapy Assistant
1951 BENCH RD, SUITE E
POCATELLO, ID 83201
Bannock County (208) 237-2080
DR. JOHN ABRAHAM FENSTERMAKER D.O.
Family Medicine
1951 BENCH RD, SUITE B
POCATELLO, ID 83201
Bannock County (208) 238-1000

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 Dna With Tina LLC's NPI number?

The NPI number for Dna With Tina LLC is 1306105598. It was assigned to this organization in the NPPES registry on May 9, 2012.

Where is Dna With Tina LLC located?

Dna With Tina LLC is located at 1951 Bench Rd, Pocatello, ID 83201. The listed phone number is (208) 240-4785.

What is Dna With Tina LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Dna With Tina LLC was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.