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

Last updated

Mar 13, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lisa June Zajanc, MSN FNP-C

Title

Owner Nurse Practitioner

Phone

(208) 529-6430

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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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• Family Nurse Practitioner in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• 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.