P Praxis·MD
● Active Type 1 · Individual

Leslie Gwen Gunnerson, R.N., I.B.C.L.C.

Registered Nurse·Eagle, ID· NPI 1114329174 · Enumerated 2014 · 11 years on NPI
Gunnerson is 1 of 5 registered nurse providers in Eagle and 1 of 32 in Idaho.
NPI age
11 years
Enumerated 2014-09-22
Primary specialty
Registered Nurse
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-09-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 32 active registered nurse providers in Idaho.

NPI age
11 years
↑ 9 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-09Enumerated in NPPES
2014 2026

Where they practice

Practice location
678 Stierman Way
Eagle, ID 836165132
📞 2089399869
Mailing address
678 Stierman Way
Eagle, ID 836165132
📞 2089399869

Specialties

  • Registered Nurse Primary
    Definition to come...
    ID license #N-22323 taxonomy 163WL0100X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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