NPI 1134928419

Proactive Wound Care Id INC.

Organisation Podiatrist Fish Haven, ID

Practice location

Address: 2270 Highway 89, Fish Haven, ID 83287-5139
Phone: (801) 815-6862
Mailing address: PO Box 607, Centerville, UT 84014-0607

Authorised official

Name: Hayley Williams
Title: Office Manager
Phone: (801) 815-6862

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Idaho →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1134928419
Entity type: Organization
NPI issued: 10 Mar 2025
Record last updated: 10 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.