OrganizationActive
Care Medical Housecalls PC
NPI 1730714049 · Primary Care Nurse Practitioner · Eagle, ID
Provider details
- NPI number
- 1730714049
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mary Roehling, Nurse Practitioner / Owner(208) 860-1398
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2040 E Holgate Ct
Eagle, ID 83616
Phone: (208) 991-0145
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1804
Eagle, ID 83616
Registry dates
- Enumerated
- 2020-03-06
- Last updated
- 2020-03-18
- Certified
- 2020-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.