Organization · Type 2 NPI

Ageless Women's Health Id LLC

Adult Medicine Physician · Meridian, ID

NPI number 1235975202 Active

Practice location

3875 E Overland Rd Ste 108
Meridian, ID 83642-9047

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

3 other providers at this address

About NPI 1235975202

Ageless Women's Health Id LLC's National Provider Identifier is 1235975202, issued on Jul 8, 2024. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Meridian, ID. The record was last updated on Jul 8, 2024.