P Praxis·MD
● Active Type 2 · Organization

East Idaho Wound Care Llc

Nurse Practitioner·Idaho Falls, ID· NPI 1407748510 · Enumerated 2025 · 0 years on NPI
East Idaho Wound Care Llc is 1 of 1280 nurse practitioner organizations in Idaho.
NPI age
— years
Enumerated 2025-07-15
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Croft
NP
Last NPPES update
2025-07-15
Source: monthly bulk 2026-05

How this organization compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
0 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2025 → 2026

2025-07Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
1005 Terry Dr
Idaho Falls, ID 834045122
📞 2085418879
Mailing address
1005 Terry Dr
Idaho Falls, ID 834045122
📞 2085418879

Authorized official

Justin Kyler Croft, FNP-C
NP
📞 2085418879

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LF0000X

Practice context

Single-site organization. Only one practice location on file.

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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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