Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X |
| NPI # | 1578448643 |
| LBN Legal business name | SANOURA HAVEN LLC |
| Authorized official | KAITLIN PETERS - (OWNER/OPERATOR, RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/07/2025 |
| Last updated | 01/18/2026 - About 5 months ago |
| Identifiers | n/a |
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| ROSEMARY PHELPS 353 W. IOWA NAMPA, ID |
| JENIFER S CONN, APRN-CNP 1510 12TH AVENUE RD STE 200 NAMPA, ID |
| CANDACE LEE, RN FIRST ASSISTANT 215 E HAWAII AVE NAMPA, ID |
| RAQUEL R KACIN, APRN, FNP-C 3167 WEST BELLTOWER DRIVE MERIDIAN, ID |
| WALLENE A STODDARD, CNM 270 N LINDER RD MERIDIAN, ID |
| DEBORAH A RUSH, PMHNP 1550 N CRESTMONT DR MERIDIAN, ID |
| MARK A PHELAN, RN 779 S. TENNYSON WAY BOISE, ID |
| CHERYL FISH, NP 6140 W CURTISIAN AVE BOISE, ID |
| ELISA M SALAZAR, NP 131 N ALLUMBAUGH BOISE, ID |
| KANDISS L INMAN, WHNP-BC, MSN, MSCP 10280 W USTICK RD BOISE, ID |