About Us

Julie Acarregui – Owner, CRNA, MSN, BSN,CEO/Medical Director

At PURE, you can feel confident that you are in the care of professional, experienced hands. Julie has been a Board Certified Registered Nurse Anesthetist since 1996, and is currently the chief of the Department of Anesthesia at St Luke’s Elmore in Mountain Home, Idaho. Julie’s expertise in anesthesia ensures her patients experience as little discomfort as possible during all aesthetic procedures.

Julie has studied under and consulted with multiple renowned aesthetic providers including Dr. Sam Assassa of Beverly Hills, known worldwide for his groundbreaking techniques in non-invasive cosmetic surgery.

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Registered Nurse, Licensed Medical Aesthetician & Laser Expert


Leah Singleton

Leah is a licensed aesthetician, massage therapist, and trained medical assistant. She started working in the spa and beauty industry in 2006 and began her transition into medical aesthetics in 2012. She completed a comprehensive training in cosmetic injections, aesthetic artistry, and advanced laser procedures with the Medical Director of Pure, Julie Acarregui, and plans to complete her degree as a Registered Nurse in the spring of 2017.

Her extensive knowledge in skin care and aesthetics stems from her continuing commitment to education and learning new trends and techniques. Leah emphasizes that patient education and participation is a vital component of customizing a treatment plan, and prides herself in providing each patient with a comfortable atmosphere in which they may establish and reach their goals.

Huge CONGRATULATIONS to Leah Singleton for completing a comprehensive preceptorship in cosmetic injections, aesthetic artistry, and advanced laser procedures with Julie Acarregui. Leah was able to do this preceptorship as part of her RN degree. Julie says, “I am so proud of her, and have never felt more confident about anyone I have ever trained. She is a perfectionist and has an eye for aesthetic artistry. We are so lucky to have Leah as part of our team at PURE.”


Registered Nurse, Licensed Medical Aesthetician, Certified Oncology Aesthetician


Carey Nikolaisons


Carey is an RN, Licensed Aesthetician, Certified Oncology Aesthetician and a Certified Permanent Cosmetic Professional. Her transition from Pediatric medicine to a career in Medical Aesthetics transpired when her mother was diagnosed with Stage 4 Metastatic Breast Cancer in 2014. Not knowing what the outcome would be, it was Carey’s mission to take charge, fully understand and implement safe skin care treatments for those affected by Chemotherapy, medications and Radiation Therapy. Her dedication in helping others look and feel their absolute best, with or without cancer, combined with a dose of Compassion, Comfort and Care, is just a part of her journey in making a difference and improving one’s quality of life.

Carey comes to us with extensive knowledge and makes continuing education in advanced medical treatments a priority in her life. Carey has specifically completed an Advanced Preceptorship in the safety and use of various laser modalities which assist her in customizing laser treatments that give you results!

Outside the professional world, Carey and her husband reside in Hailey with their 5 children and 2 dogs. They enjoy every aspect of living in the mountains and feel blessed to raise their family in such a loving and giving community.


Certified Injector, Medical Assistant and Licensed Aesthetician


Amber Sheen


With over a decade of experience in medical skincare and advanced aesthetics, Amber brings a wealth of expertise and passion to the field of health and beauty. She has completed specialized training in dermal filler techniques using Restylane® and Juvéderm®. She is also a skilled injector of Dysport® and Botox® Cosmetic. Her expertise includes broad band light/intense pulsed light (BBL and IPL) photofacials; Halo® laser skin rejuvenation and laser hair removal. She holds many certifications through leading-edge companies such as Sciton®, Exilis Elite®, Rejuvapen®, Obagi®, ZO®, Epionce® and more. She believes the aesthetic industry offers an ongoing learning experience and keeping up with available knowledge is key to be the best Medical Aesthetician and Cosmetic Injector possible for her clients. Her ambition is to empower clients to feel and look their best by educating them about their skin and building confidence with the use of advanced aesthetics. Her gentle injections techniques, eye for beauty and natural results, make her a highly sought-after aesthetic practitioner.


Rachel Ryan

Rachel is joining us with several years of various injectable and laser treatments. She grew up in Boise and attended Idaho State University where she graduated with her Bachelors of Science in Dietetics and was a collegiate athlete on the Women’s Tennis Team. She then attended Nursing School in Southern California at Western University of Health Sciences where she graduated with her Masters in Nursing, and moved back home to Boise to be with her family, husband Robert, and step-daughter Mila. She has always had a passion for the aesthetic side of nursing and using her artistic eye and soft touch to help men and women feel beautiful and comfortable with the aging process.


Guest Specialists


 Wendy Carson

Wendy Carson has been in Public relations for 25 years.  She started in the Car Industry and has earned many awards for excellent customer service, starting with Cadillac and Lexus then ending with Toyota.
She understood the importance of good, solid customer relations and how invaluable this was, not only to her employer, but also in developing long lasting relationships and in customer retention. Being a “positive force” in a predominately male industry, brought her into the Finance and Insurance field, where she excelled and pursued many avenues in schooling and certification that advanced her year after year.
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Tour The Practice

Review Our Extensive Gallery of Before and After Photos and Patients Testimonials.