OrganizationActive
Inlande Empire Gymnastics Association
NPI 1124825724 · Primary Care Nurse Practitioner · Coeur D Alene, ID
Provider details
- NPI number
- 1124825724
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ashton Noel Underdahl, Strategist(208) 691-0691
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6360 N Sunshine St
Coeur D Alene, ID 83815-8699
Phone: (208) 635-5623
Fax: (208) 601-6153
Approximate (ZIP-level) locationGet directions
Mailing address
6360 N Sunshine St
Coeur D Alene, ID 83815-8699
Other names (DBA / former)
- Doing business as
- Avant Coeur Gymnastics
Registry dates
- Enumerated
- 2025-03-01
- Last updated
- 2025-03-01
- Certified
- 2025-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.