P Praxis·MD
● Active Type 2 · Organization

Wellspring Weight & Wellness Llc

Nurse Practitioner·Shelley, ID· NPI 1043056260 · Enumerated 2024 · 1 years on NPI
Wellspring Weight & Wellness Llc is 1 of 79 nurse practitioner organizations in Idaho.
NPI age
1 years
Enumerated 2024-07-08
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
George
Clinical Director
Last NPPES update
2024-07-08
Source: monthly bulk 2026-05

How this organization compares

Across 79 active nurse practitioner providers in Idaho.

NPI age
1 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-07Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
555 W Oak St Ste 1
Shelley, ID 832741161
📞 9862497537
Mailing address
555 W Oak St Ste 1
Shelley, ID 832741161
📞 9862497537

Authorized official

Thomas M George, DNP, FNP-C
Clinical Director
📞 2403081771

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP2300X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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