Provider Demographics
NPI:1225387350
Name:STRONG FOUNDATIONS PLLC
Entity Type:Organization
Organization Name:STRONG FOUNDATIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SUHR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:208-371-7046
Mailing Address - Street 1:10840 W WASDALE DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-7170
Mailing Address - Country:US
Mailing Address - Phone:208-371-7046
Mailing Address - Fax:
Practice Address - Street 1:10840 W WASDALE DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-7170
Practice Address - Country:US
Practice Address - Phone:208-371-7046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP-1150A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty