WELLNESS AND AESTHETICS CLINIC OF IDAHO
NPI 1063143659
Family Medicine in Meridian, ID

Active since June 23, 2022
1965 S EAGLE RD STE 180, MERIDIAN, ID 83642(986) 666-3866(986) 666-3038 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellness And Aesthetics Clinic Of Idaho NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLNESS AND AESTHETICS CLINIC OF IDAHO (NPI 1063143659) is a healthcare organization registered as a family medicine in Meridian, Idaho and active in the NPI registry since June 2022. The organization lists Alexandria Mwanga, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1063143659
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOURNEY HEALTHCARE LLC
Location Address1965 S EAGLE RD STE 180Meridian, ID 83642-9246
Mailing Address1965 S Eagle Rd Ste 180Meridian, ID 83642-9246 · (986) 666-3866 · Fax (986) 666-3038
Fax(986) 666-3038
Organization SubpartNo
Authorized OfficialAlexandria MwangaMedical Director · (208) 380-9906
Enumeration DateJune 23, 2022
Last NPPES UpdateDecember 20, 2024
NPPES CertifiedDecember 20, 2024
NPI 1063143659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHealth and Wellness CoachTaxonomy 171400000X
1965 S EAGLE RD STE 180, Meridian, ID 83642

Other Names 1

Doing Business AsWellness And Aesthetics Clinic Of Idaho

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Journey Healthcare LLC's NPI number?

The NPI number for Journey Healthcare LLC is 1063143659. It was assigned to this organization in the NPPES registry on June 23, 2022. The provider is doing business as Wellness And Aesthetics Clinic Of Idaho.

Where is Journey Healthcare LLC located?

Journey Healthcare LLC is located at 1965 S Eagle Rd Ste 180, Meridian, ID 83642. The listed phone number is (986) 666-3866.

What is Journey Healthcare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Journey Healthcare LLC was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.