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Little Angels — NPI 1336408632, Idaho Falls, ID | NPI Central

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NPI 1336408632

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Little Angels

NPI 1336408632 · Child & Adolescent Psychiatry Physician · Idaho Falls, ID

Provider details

NPI number: 1336408632
Entity type: Organization
Primary specialty: Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Lisa Cruz, Owner(208) 313-0711
License: M-9188 (ID)

Specialties & taxonomies

Child & Adolescent Psychiatry PhysicianPrimary2084P0804X
Allopathic & Osteopathic Physicians
Psychiatry Physician2084P0800XLicense M-9188 (ID)
Allopathic & Osteopathic Physicians
Physician Assistant363A00000XLicense PA-334 (ID)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

1680 Woodruff Park

Idaho Falls, ID 83401-3330

Phone: (208) 313-0711

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1680 Woodruff Park

Idaho Falls, ID 83401-3330

Other names (DBA / former)

Doing business as: N/A

Registry dates

Enumerated: 2012-05-08
Last updated: 2013-02-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.