Aesthetic Concepts LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP 669-A Issued in ID

Legal business name

AESTHETIC CONCEPTS LLC

Practice address

2860 Channing Way Ste 224
Idaho Falls, ID 83404-7541

Phone

(208) 529-6430

Fax

(208) 529-6428

NPI assigned

Mar 13, 2009

Organization subpart

No

Name

Ms. Lisa June Zajanc, MSN FNP-C

Title

Owner Nurse Practitioner

Phone

(208) 529-6430

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2009.

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1871734293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 CHANNING WAY STE 224",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047541",
            "telephone_number": "208-529-6430",
            "fax_number": "208-529-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 CHANNING WAY STE 224",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047541",
            "telephone_number": "208-529-6430",
            "fax_number": "208-529-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "ZAJANC",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER NURSE PRACTITIONER",
        "authorized_official_telephone_number": "208-529-6430",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP 669-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Idaho Falls, ID
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.