| Wellnite Medical Group Pa | |
|
1105 2nd St S Nampa ID 83651-3911 | |
| (650) 761-9770 | |
| Not Available |
| Full Name | Wellnite Medical Group Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1105 2nd St S, Nampa, Idaho |
| Authorized Official Name and Position | Elisa Swan (CEO) |
| Authorized Official Contact | 8557311410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellnite Medical Group Pa 2261 Market St # 4058 San Francisco CA 94114-1612 Ph: (855) 731-1410 | Wellnite Medical Group Pa 1105 2nd St S Nampa ID 83651-3911 Ph: (650) 761-9770 |
| NPI Number | 1417739038 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417739038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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