# ALPINE WELLNESS CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528924842
- **Authorized official:** TAMARA CHARMAINE SANDMEYER NP (OWNER)
- **Authorized official phone:** (208) 447-7893

## Contact information

- **Practice address:** 5655 N GLENWOOD ST STE 105, GARDEN CITY, ID 83714-1831
- **Practice address phone:** (208) 917-2772
- **Practice address fax:** (208) 375-5844
- **Mailing address:** 5655 N GLENWOOD ST STE 105, GARDEN CITY, ID 83714-1831
- **Mailing address phone:** (208) 917-2772
- **Mailing address fax:** (208) 375-5844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2025
- **Last updated:** 12/30/2025