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

North Haven Aesthetics & Wellness PLLC

Organization Family Nurse Practitioner · NPI 1063343705

North Haven Aesthetics & Wellness PLLC provides Family Nurse Practitioner services in Eagle, Idaho. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

219 S Wooddale Ave
Eagle, ID 83616-7714
Phone: (208) 994-5575
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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 number1063343705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Sieger — Owner · (208) 994-5575
NPI enumeratedMay 28, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026
Mailing address10400 W Overland Rd, Boise, ID 83709-1433

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