Organization · Type 2 NPI
Wellspring Weight & Wellness LLC
Primary Care Nurse Practitioner · Shelley, ID
NPI number
1043056260
Active
Practice location
555 W Oak St Ste 1
Shelley, ID 83274-1161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1043056260
Wellspring Weight & Wellness LLC's National Provider Identifier is 1043056260, issued on Jul 8, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Shelley, ID. The record was last updated on Jul 8, 2024.