Organization · Type 2 NPI
Deva Wellness PLLC
Family Nurse Practitioner · Boise, ID
NPI number
1043055338
Active
Practice location
1620 W Bannock St
Boise, ID 83702-5156
Mailing address
4280 N Ginzel St
Boise, ID 83703-4214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1043055338
Deva Wellness PLLC's National Provider Identifier is 1043055338, issued on Jun 27, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Jun 27, 2024.