Organization · Type 2 NPI
Pocatello Wellness Clinic, LLC
Family Nurse Practitioner · Pocatello, ID
NPI number
1437615952
Active
Practice location
1155 Yellowstone Ave, Ste D
Pocatello, ID 83201-4369
Fax (208) 238-6162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1437615952
Pocatello Wellness Clinic, LLC's National Provider Identifier is 1437615952, issued on Feb 20, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pocatello, ID. The record was last updated on Apr 23, 2024.