Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

East Idaho Wound Care LLC

Organization Family Nurse Practitioner · NPI 1407748510

East Idaho Wound Care LLC provides Family Nurse Practitioner services in Idaho Falls, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1005 Terry Dr
Idaho Falls, ID 83404-5122
Phone: (208) 541-8879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1407748510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Croft — Np · (208) 541-8879
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address1005 Terry Dr, Idaho Falls, ID 83404-5122

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