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

Western Skies Wellness and Primary Care, PC

Organization Gerontology Nurse Practitioner · NPI 1568255636

Western Skies Wellness and Primary Care, PC provides Gerontology Nurse Practitioner services in Council, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Illinois Ave
Council, ID 83612
Phone: (208) 849-3725
Fax: (844) 689-3409
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X

Record details

NPI number1568255636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodi Haney — Credentialing/Contracting · (541) 410-5394
NPI enumeratedMay 22, 2025
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing addressPo Box 158, Council, ID 83612-0158

Other providers in Council