HomeNPI Verification

NPI Verification

National Provider Identifier: 1063764462

Active Family Healthcare PLLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

919 W CANFIELD AVE

COEUR D ALENE, ID 838159764

Phone: 208-758-0560

NPI Enumeration Date

October 9, 2012

NPI Number

1063764462

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry