institution
Lifespan Wellness Pllc
Psychiatric/Mental Health Nurse Practitioner in Meridian, Idaho
NPI 1366819310

Lifespan Wellness Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Meridian, ID and is specialized in Psychiatric/Mental Health. Lifespan Wellness Pllc practices in Meridian, ID. The NPI Number for Lifespan Wellness Pllc is 1366819310 and holds a License No. NP-1536A (Idaho).

The current practice location address for Lifespan Wellness Pllc is 1404 N Main St, Meridian, ID and can be reached out via phone at 208-888-6264 and via fax at 208-906-2363.

Location: 1404 N Main St, Meridian, ID, 83642-2799
institution
Provider Profile Details
NPI Number
1366819310
Provider Name
Lifespan Wellness Pllc
Credential
Provider Entity Type
Organization
Address
1404 N Main St, Meridian, ID, 83642-2799
Phone Number
208-888-6264
Fax Number
208-906-2363
Provider Enumeration Date
08/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1404 N Main St
City
State
Zip
83642-2799
Phone Number
208-888-6264
Fax Number
208-906-2363
person
Provider Business Mailing Address Details
Address
1404 N Main St
City
State
Zip
83642-2799
Phone Number
208-888-6264
Fax Number
208-906-2363
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
NP-1536A (Idaho)
Definition
Definition to come...
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