Live Well Health And Nutrition Pllc

LBN: Live Well Health And Nutrition Pllc
Live Well Health And Nutrition Pllc is an health care organization with primary practice located at 4700 N Cloverdale Rd Ste 103 , Boise ID 83713-1067. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Live Well Health And Nutrition Pllc can be contacted via phone (208) 392-8383, or through Bahadar, Denise via phone (208) 861-4677.

Contact Information

Primary practice address
4700 N Cloverdale Rd Ste 103 Boise ID 83713-1067
Phone: (208) 392-8383
Fax: (208) 493-3062
Website:
Map and Directions
Authorized official contact:
Name: Bahadar, Denise Nurse Practitioner (NP)
Phone: (208) 861-4677

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1952815623
LBN Legal business name Live Well Health And Nutrition Pllc
DBA Doing business as
Authorized official Bahadar, Denise Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2017
Last updated Nov 16th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952815623 NPPES
Idaho Other NP-1169A STATE LICENSE

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