P Praxis·MD
● Active Type 2 · Organization

Inlande Empire Gymnastics Association

Nurse Practitioner·Coeur D Alene, ID· NPI 1124825724 · Enumerated 2025 · 1 years on NPI
Inlande Empire Gymnastics Association is 1 of 79 nurse practitioner organizations in Idaho.
NPI age
1 years
Enumerated 2025-03-01
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Underdahl
Strategist
Last NPPES update
2025-03-01
Source: monthly bulk 2026-05

How this organization compares

Across 79 active nurse practitioner providers in Idaho.

NPI age
1 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2025 → 2026

2025-03Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
6360 N Sunshine St
Coeur D Alene, ID 838158699
📞 2086355623fax 2086016153
Mailing address
6360 N Sunshine St
Coeur D Alene, ID 838158699
📞 2086355623fax 2086016153

Authorized official

Ashton Noel Underdahl
Strategist
📞 2086910691

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP2300X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Avant Coeur Gymnastics
    Type code 3 recorded 2025-03-01

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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