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

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: July 19, 2026.

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
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

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.

Chiropractor (Sports Physician)
4700 N CLOVERDALE RD STE 103
BOISE, ID 83713
Nurse Practitioner (Pediatrics)
4700 N CLOVERDALE RD STE 103
BOISE, ID 83713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952815623, enumerated as an "organization" on November 16, 2017.

The provider is located at 4700 N CLOVERDALE RD STE 103 BOISE, ID 83713 and the phone number is (208) 392-8383.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.