OrganizationActive
Nurture Lactation Support for Women & Infants
NPI 1740750710 · Pediatric Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1740750710
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kristie Karroum, Provider(208) 569-9031
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5480 Gleneagles Dr
Idaho Falls, ID 83401-6315
Phone: (208) 569-9031
Approximate (ZIP-level) locationGet directions
Mailing address
5480 Gleneagles Dr
Idaho Falls, ID 83401-6315
Registry dates
- Enumerated
- 2018-12-03
- Last updated
- 2018-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.