LIVE WELL HEALTH AND NUTRITION PLLC
NPI 1952815623
Clinic/Center in Boise, ID

Q: What is Live Well Health And Nutrition PLLC's NPI number?

The NPI number for Live Well Health And Nutrition PLLC is 1952815623. It was assigned to this organization in the NPPES registry on November 16, 2017.

Q: What is Live Well Health And Nutrition PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 16, 2017

4700 N CLOVERDALE RD STE 103, BOISE, ID 83713(208) 392-8383(208) 493-3062 Get Directions Write a Review

NPPES record last updated: November 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Live Well Health And Nutrition Pllc NPPES

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

LIVE WELL HEALTH AND NUTRITION PLLC (NPI 1952815623) is a healthcare organization registered as a clinic/center in Boise, Idaho and active in the NPI registry since November 2017. The organization lists Denise Bahadar, Np, Owner, as its authorized official.

NPPES Registry Identity

NPI1952815623

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLIVE WELL HEALTH AND NUTRITION PLLC

Location Address4700 N CLOVERDALE RD STE 103Boise, ID 83713-1067

Mailing Address4700 N Cloverdale Rd Ste 103Boise, ID 83713-1067 · (208) 392-8383 · Fax (208) 493-3062

Phone(208) 392-8383

Fax(208) 493-3062

Organization SubpartNo

Authorized OfficialDenise BahadarNp, Owner · (208) 861-4677

Enumeration DateNovember 16, 2017

✔ NPI 1952815623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4700 N CLOVERDALE RD STE 103, Boise, ID 83713

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Other Identifiers 1

OtherNP-1169AID · State License

Other Providers at the Same Location NPPES 2

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

DR. BLAKE LOUIS HOWARD D.C.

Chiropractor (Sports Physician)

4700 N CLOVERDALE RD STE 103
BOISE, ID 83713

Ada County (208) 658-8326

JILL MOUGHAMIAN NP

Nurse Practitioner (Pediatrics)

4700 N CLOVERDALE RD STE 103
BOISE, ID 83713

Ada County (208) 392-8383

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 Live Well Health And Nutrition PLLC's NPI number?

The NPI number for Live Well Health And Nutrition PLLC is 1952815623. It was assigned to this organization in the NPPES registry on November 16, 2017.

Where is Live Well Health And Nutrition PLLC located?

Live Well Health And Nutrition PLLC is located at 4700 N Cloverdale Rd Ste 103, Boise, ID 83713. The listed phone number is (208) 392-8383.

What is Live Well Health And Nutrition PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Live Well Health And Nutrition PLLC was last updated on November 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.