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WELLNITE MEDICAL GROUP PA
NPI 1417739038
Psychiatry & Neurology - Neurology in Nampa, ID

Active since October 18, 2023
1105 2ND ST S, NAMPA, ID 83651(650) 761-9770 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellnite Medical Group Pa NPPES

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

WELLNITE MEDICAL GROUP PA (NPI 1417739038) is a healthcare organization registered as a neurology in Nampa, Idaho and active in the NPI registry since October 2023. The organization lists Elisa Swan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417739038
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameWELLNITE MEDICAL GROUP PA
Location Address1105 2ND ST SNampa, ID 83651-3911
Mailing Address2261 Market St # 4058San Francisco, CA 94114-1612 · (855) 731-1410
Phone(650) 761-9770
Organization SubpartNo
Authorized OfficialElisa SwanCeo · (855) 731-1410
Enumeration DateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1417739038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1105 2ND ST S, Nampa, ID 83651
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA KIPP RDN
Dietitian, Registered
1105 2ND ST S
NAMPA, ID 83651
Canyon County (208) 250-0836

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 Wellnite Medical Group PA's NPI number?

The NPI number for Wellnite Medical Group PA is 1417739038. It was assigned to this organization in the NPPES registry on October 18, 2023.

Where is Wellnite Medical Group PA located?

Wellnite Medical Group PA is located at 1105 2nd St S, Nampa, ID 83651. The listed phone number is (650) 761-9770.

What is Wellnite Medical Group PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Wellnite Medical Group PA was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.