POCATELLO WELLNESS CLINIC, LLC is a family nurse practitioner in Pocatello, ID. POCATELLO WELLNESS CLINIC, LLC NPI is 1437615952. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1155 YELLOWSTONE AVE STE D POCATELLO, ID ZIP 83201-369 Phone: (208) 637-9610 Fax: (208) 238-6162
The provider's authorized official is Dustin Reno . The authorized official title is Owner and has the following contact phone number (208) 637-9610.
The enumeration date for this NPI number is 2/20/2019 and was last updated on 4/23/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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