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Organization
LIVEWELL HEALTH AND WELLNESS LLC
Active
Organization
LIVEWELL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI MICHELLE GOSS CNP (NURSE PRACTITIONER)
(208) 571-1060
Entity
Organization
Contact information
Practice address
11517 W SHARPTHORN ST, BOISE, ID 83709-6784
(208) 571-1060
Mailing address
11517 W SHARPTHORN ST, BOISE, ID 83709-6784
(208) 571-1060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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