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WIMMIS SLEEP, PLLC

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Company Details

Name: WIMMIS SLEEP, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Aug 2018 (7 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 636179
Place of Formation: IDAHO
File Number: 636179
ZIP code: 83607
County: Canyon County
Mailing Address: 24442 NUBIAN GOAT CT CALDWELL, ID 83607-8525

Agent

Name Role Address
KYLEEN STUCKI Agent 24442 NUBIAN GOAT COURT, KY STUCKI, CALDWELL, ID 83607

President

Name Role Address Appointed On Resigned On
Kyleen H Stucki President 24442 NUBIAN GOAT COURT, CALDWELL, ID 83607 2020-09-02 2022-12-21
Spencer Stucki President 24442 NUBIAN GOAT CT, CALDWELL, ID 83607 2022-12-21 2023-08-03

Member

Name Role Address Appointed On
KYLEEN H STUCKI Member 24442 NUBIAN GOAT CT, CALDWELL, ID 83607-8525 2024-07-31
SPENCER D STUCKI Member 24442 NUBIAN GOAT CT, CALDWELL, ID 83607-8525 2024-07-31

Vice President

Name Role Address Appointed On Resigned On
KYLEEN STUCKI Vice President 24442 NUBIAN GOAT CT, CALDWELL, ID 83607 2023-08-03 2023-08-03

National Provider Identifier

NPI Number:
1235944083
Certification Date:
2025-02-10

Authorized Person:

Name:
SPENCER STUCKI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085238978
Fax:
2084298575

Filing

Filing Name Filing Number Filing date
Annual Report 0005834630 2024-07-31
Statement of Conversion 0005353448 2023-08-04
Annual Report 0005343984 2023-08-03
Application for Reinstatement 0005036066 2022-12-21
Dissolution/Revocation - Administrative 0004981555 2022-11-05

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State