OrganizationActive
Shadow Pines Health & Wellness LLC
NPI 1851094619 · Primary Care Clinic/Center · Eagle, ID
Provider details
- NPI number
- 1851094619
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joslyn Sciarrino, Owner(208) 244-0534
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
408 S Eagle Rd Ste 205
Eagle, ID 83616-6079
Phone: (208) 244-0534
Fax: (984) 355-0375
Approximate (ZIP-level) locationGet directions
Mailing address
408 S Eagle Rd Ste 205
Eagle, ID 83616-6079
Registry dates
- Enumerated
- 2023-03-22
- Last updated
- 2023-03-22
- Certified
- 2023-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.