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Contact Information

BALANCE REGENERATIVE MEDICINE PLLC
260 FALLS AVE STE B
TWIN FALLS, ID83301-3370
 Phone: 208-539-3155
 Fax: 833-505-2716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BALANCE REGENERATIVE MEDICINE PLLC · (Female)

NPI Number 1568136299
Status Active
Credentials
Entity Individual
Enumeration date 08/05/2021
Last updated 05/16/2024 - About 2 years 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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