Better Health With Nicole Llc | |
1155 Pocatello Creek Rd Ste A Pocatello ID 83201-2949 | |
(208) 261-4233 | |
(208) 205-9189 |
Full Name | Better Health With Nicole Llc |
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Speciality | Clinic/Center |
Location | 1155 Pocatello Creek Rd Ste A, Pocatello, Idaho |
Authorized Official Name and Position | Jeanette Nicole Lamb (OWNER) |
Authorized Official Contact | 2082614233 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Better Health With Nicole Llc 1175 Call Pl Ste 100h Pocatello ID 83201-4990 Ph: (208) 261-4233 | Better Health With Nicole Llc 1155 Pocatello Creek Rd Ste A Pocatello ID 83201-2949 Ph: (208) 261-4233 |
NPI Number | 1568184174 |
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Provider Enumeration Date | 09/12/2022 |
Last Update Date | 10/11/2023 |
Medicare PECOS PAC ID | 3072981430 |
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Medicare Enrollment ID | O20221116002573 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568184174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jeanette Nicole Lamb |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1912952029 PECOS PAC ID: 4789687062 Enrollment ID: I20060808000054 |
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