Livewell Health and Wellness LLC

NPI #1184491755 in Boise, Idaho

Provider Information

NPI Number: 1184491755
Entity Type: Organization
Organization Name: Livewell Health and Wellness LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Dec 5, 2023
Last Updated: Dec 5, 2023

Practice Location

Address: 11517 W SHARPTHORN ST
City: Boise
State: Idaho
ZIP Code: 83709-6784
Phone: (208) 571-1060

Authorized Official

Name: VICKI MICHELLE GOSS, CNP
Title: NURSE PRACTITIONER
Phone: (208) 571-1060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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