Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Lakes Medicine PA

Organization Family Nurse Practitioner · NPI 1063872489

Blue Lakes Medicine PA provides Family Nurse Practitioner services in Twin Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1122 Eastland Dr N Ste 2
Twin Falls, ID 83301-8444 Not confirmed with CMS for 10 years — call before visiting
Phone: (208) 734-9531
Fax: (208) 733-6969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-1688A (ID)

Record details

NPI number1063872489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Howard Arrington — Provider / Owner · (208) 734-9531
NPI enumeratedFebruary 26, 2016
Last updated in NPPESFebruary 26, 2016
Mailing address1122 Eastland Dr N, Ste 2, Twin Falls, ID 83301-8444

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