Healthcare Provider Details

I. General information

NPI: 1841883741
Provider Name (Legal Business Name): TRUE NORTH WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2021
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1327 W SUPERIOR ST STE 104
SANDPOINT ID
83864-2742
US

IV. Provider business mailing address

1327 W SUPERIOR ST STE 104
SANDPOINT ID
83864-2742
US

V. Phone/Fax

Practice location:
  • Phone: 208-946-5888
  • Fax:
Mailing address:
  • Phone: 208-946-5888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. F BLAKE AMBRIDGE
Title or Position: OWNER/ADMINISTRATOR
Credential: ND
Phone: 208-946-5888