P Praxis·MD
● Active Type 1 · Individual

Eren Havrilak

Specialist/Technologist·Nampa, ID· NPI 1821484809 · Enumerated 2015 · 11 years on NPI
Havrilak is 1 of 8 specialist/technologist providers in Nampa and 1 of 326 in Idaho.
NPI age
11 years
Enumerated 2015-04-07
Primary specialty
Specialist/Technologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-04-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 326 active specialist/technologist providers in Idaho.

NPI age
11 years
↑ 3 yr above median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Practice location
218 S Blue Heron Way
Nampa, ID 836878985
📞 8475600811
Mailing address
218 S Blue Heron Way
Nampa, ID 836878985
📞 8475600811

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    ID license #AT - 507 taxonomy 2255A2300X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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