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

Life Spring Women's Clinic, PA

Organization Physician Assistant · NPI 1265635346

Life Spring Women's Clinic, PA provides Physician Assistant services in Idaho Falls, Idaho. Licensed in Idaho and Indiana. Registered with an NPI since 2007.

Licensed in
ID, IN
In the registry since
2007
Specialties on file
2
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

1660 John Adams Pkwy
Idaho Falls, ID 83401-4360 Not confirmed with CMS for 19 years — call before visiting
Phone: (208) 523-8844
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence RPA-214 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence NP-253A (IN)

Record details

NPI number1265635346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Hall — President · (208) 523-8844
NPI enumeratedJune 7, 2007
Last updated in NPPESSeptember 13, 2007
Mailing address1660 John Adams Pkwy, Idaho Falls, ID 83401-4360

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