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Contact Information

ELEVATED HEALING SERVICES LLC
1600 JOHN ADAMS PKWY STE 101
IDAHO FALLS, ID83401-4300
 Phone: 208-716-5063
 Fax: 866-661-4322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Clinic/Center

261Q00000X
 

Family

363LF0000X 50 Nurse Practitioner
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELEVATED HEALING SERVICES LLC · (Female)

NPI Number 1184505042
Status Active
Credentials
Entity Individual
Enumeration date 09/09/2025
Last updated 10/07/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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