OrganizationActive
Fresh Aesthetics Medical Spa
NPI 1174105431 · Gerontology Nurse Practitioner · Twin Falls, ID
Provider details
- NPI number
- 1174105431
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Angela Stanger, Owner/Np-C(208) 358-3637
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1411 Falls Ave E Ste 105
Twin Falls, ID 83301-3455
Phone: (208) 358-3637
Street-level locationGet directions
Mailing address
1411 Falls Ave E Ste 105
Twin Falls, ID 83301-3455
Registry dates
- Enumerated
- 2021-04-26
- Last updated
- 2021-04-26
- Certified
- 2021-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.