Fresh Aesthetics Medical Spa
Fresh Aesthetics Medical Spa provides Gerontology Nurse Practitioner services in Twin Falls, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1411 Falls Ave E Ste 105Twin Falls, ID 83301-3455
Phone: (208) 358-3637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X |
|---|
Record details
| NPI number | 1174105431 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Stanger — Owner/Np-C · (208) 358-3637 |
| NPI enumerated | April 26, 2021 |
| Last updated in NPPES | April 26, 2021 |
| Certification date | April 26, 2021 |
| Mailing address | 1411 Falls Ave E Ste 105, Twin Falls, ID 83301-3455 |
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Corine Faught
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Leslie A Hass, AGPCNP-BC
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Danielle Jean Larson, AGNP
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