Healthcare Provider Details

I. General information

NPI: 1912614520
Provider Name (Legal Business Name): INFUSED HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2022
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 FALLS AVE E STE 207
TWIN FALLS ID
83301-3455
US

IV. Provider business mailing address

1411 FALLS AVE E STE 207
TWIN FALLS ID
83301-3455
US

V. Phone/Fax

Practice location:
  • Phone: 208-244-0021
  • Fax:
Mailing address:
  • Phone: 208-244-0021
  • Fax: 208-595-4427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EVA MARIE GARCIA
Title or Position: NP
Credential: NP
Phone: 208-244-0021