P Praxis·MD
● Active Type 2 · Organization

Fresh Aesthetics Medical Spa

Nurse Practitioner·Twin Falls, ID· NPI 1174105431 · Enumerated 2021 · 5 years on NPI
Fresh Aesthetics Medical Spa is 1 of 39 nurse practitioner organizations in Idaho.
NPI age
5 years
Enumerated 2021-04-26
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stanger
Owner/np-C
Last NPPES update
2021-04-26
Source: monthly bulk 2026-05

How this organization compares

Across 39 active nurse practitioner providers in Idaho.

NPI age
5 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2021 → 2026

2021-04Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
1411 Falls Ave E Ste 105
Twin Falls, ID 833013455
📞 2083583637
Mailing address
1411 Falls Ave E Ste 105
Twin Falls, ID 833013455
📞 2083583637

Authorized official

Angela Stanger, AGPCNP
Owner/np-C
📞 2083583637

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LG0600X

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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