Lifespan Wellness Pllc
LBN: Lifespan Wellness Pllc
Lifespan Wellness Pllc is an health care organization with primary practice located at 1404 N Main St Suite 101, Meridian ID 83642-2799. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty.
Lifespan Wellness Pllc can be contacted via phone (208) 888-6264, or through Nation, Rebekah Danielle via phone (770) 324-7635.
Contact Information
Primary practice address
1404 N Main St Suite 101
Meridian ID 83642-2799
Phone: (208) 888-6264
Fax: (208) 906-2363
Website:
Authorized official contact:
Name: Nation, Rebekah Danielle Advanced Practice Registered Nurse (APRN)
Phone: (770) 324-7635
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | NP-1536A | Idaho |
Profile Details
| NPI number | 1366819310 |
|---|---|
| LBN Legal business name | Lifespan Wellness Pllc |
| DBA Doing business as | |
| Authorized official | Nation, Rebekah Danielle Advanced Practice Registered Nurse (APRN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 25th, 2015 |
| Last updated | Feb 24th, 2016 - about 10 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.
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