P Praxis·MD
● Active Type 2 · Organization

Nurture Lactation Support For Women & Infants

Nurse Practitioner·Idaho Falls, ID· NPI 1740750710 · Enumerated 2018 · 7 years on NPI
Nurture Lactation Support For Women & Infants is 1 of 58 nurse practitioner organizations in Idaho.
NPI age
7 years
Enumerated 2018-12-03
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Karroum
Provider
Last NPPES update
2018-12-03
Source: monthly bulk 2026-05

How this organization compares

Across 58 active nurse practitioner providers in Idaho.

NPI age
7 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-12Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
5480 Gleneagles Dr
Idaho Falls, ID 834016315
📞 2085699031
Mailing address
5480 Gleneagles Dr
Idaho Falls, ID 834016315
📞 2085699031

Authorized official

Kristie Karroum, FNP
Provider
📞 2085699031

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP0200X

Identifiers

TypeValueNotes
01 (ID) FNP57631 LICENSE

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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