Healthcare Provider Details

I. General information

NPI: 1649114927
Provider Name (Legal Business Name): INTUITIVE CARE NORTHWEST, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E INDIANA AVE
COEUR D ALENE ID
83814-2989
US

IV. Provider business mailing address

420 E INDIANA AVE
COEUR D ALENE ID
83814-2989
US

V. Phone/Fax

Practice location:
  • Phone: 208-626-2511
  • Fax: 208-561-7222
Mailing address:
  • Phone: 208-626-2511
  • Fax: 208-561-7222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RACHEL GOLOB
Title or Position: OWNER
Credential: APRN
Phone: 208-626-2511