Deva Wellness Pllc

LBN: Deva Wellness Pllc
Deva Wellness Pllc is an health care organization with primary practice located at 1620 W Bannock St , Boise ID 83702-5156. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Deva Wellness Pllc can be contacted via phone (208) 918-2242, or through Geryk, Tamra Katherine via phone (413) 687-3027.

Contact Information

Primary practice address
1620 W Bannock St Boise ID 83702-5156
Phone: (208) 918-2242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Geryk, Tamra Katherine APRN, FNP-C
Phone: (413) 687-3027

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1043055338
LBN Legal business name Deva Wellness Pllc
DBA Doing business as
Authorized official Geryk, Tamra Katherine APRN, FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2024
Last updated Jun 27th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers