Organization · Type 2 NPI

Mind and Body Medicine LLC

Family Nurse Practitioner · Boise, ID

NPI number 1265345235 Active

Practice location

1880 W Judith Ln Ste 220
Boise, ID 83705-3138

Call (208) 918-4080 Map

Fax (208) 473-7338

Mailing address

3527 S Federal Way Ste 103-414
Boise, ID 83705-5204

Other practice locations

  • 1191 E Iron Eagle Dr Ste 200, Eagle, ID 83616-5146 · (208) 918-4080

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1265345235

Mind and Body Medicine LLC's National Provider Identifier is 1265345235, issued on Sep 23, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Sep 23, 2026.