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Enhanced Aesthetics and Wellness

NPI 1073382636ActiveOrganization· Clinic/Center· Eagle, ID

Clinic/Center in Eagle, Idaho, registered in NPPES in December 2023. The authorized official on file is Alexandria Green, FNP-BC, Owner / Provider.

Overview

NPI1073382636
StatusActive
Entity typeOrganization
NPI issuedDec 25, 2023
Last updated in NPPESDec 26, 2023
Certified by providerDec 26, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Eagle

All Clinic/Center providers in Idaho