| Core Wellness Pllc | |
|
3307 Caldwell Blvd Ste 100, Nampa, ID 83651-6403 | |
| (208) 991-6064 | |
| Not Available |
| Full Name | Core Wellness Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3307 Caldwell Blvd Ste 100, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912418716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1665 (Idaho) | Primary |
| Provider Name | Edgardo Irizarry-nunez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386166825 PECOS PAC ID: 7416217450 Enrollment ID: I20180927003228 |
| Provider Name | Lilliana Emmanuelli |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184149635 PECOS PAC ID: 0244590289 Enrollment ID: I20181003002918 |
| Mailing Address | Practice Location Address |
|---|---|
| Core Wellness Pllc 3307 Caldwell Blvd Ste 100, Nampa, ID 83651-6403 Ph: (208) 991-6064 | Core Wellness Pllc 3307 Caldwell Blvd Ste 100, Nampa, ID 83651-6403 Ph: (208) 991-6064 |
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