Wholesome Health

NPI #1942699715 in Ammon, Idaho

Provider Information

NPI Number: 1942699715
Entity Type: Organization
Organization Name: Wholesome Health
Primary Specialty: Family Medicine
Enumeration Date: Jan 17, 2015
Last Updated: Jan 17, 2015

Practice Location

Address: 3040 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6760
Phone: (208) 557-0200

Authorized Official

Name: LARAMIE LINNING WHEELER, DO
Title: OWNER
Phone: (208) 589-3846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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