| Jan Nelson Np-c, Dba, Balanced Wellness Medical Clinic | |
|
1328 N Stanford Ln 101 Liberty Lake WA 99019-5034 | |
| (509) 891-7119 | |
| Not Available |
| Full Name | Jan Nelson Np-c, Dba, Balanced Wellness Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 1328 N Stanford Ln, Liberty Lake, Washington |
| Authorized Official Name and Position | Janice Nelson (OWNER) |
| Authorized Official Contact | 2086513322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Nelson Np-c, Dba, Balanced Wellness Medical Clinic Po Box 2808 Hayden ID 83835-2808 Ph: (208) 651-3322 | Jan Nelson Np-c, Dba, Balanced Wellness Medical Clinic 1328 N Stanford Ln 101 Liberty Lake WA 99019-5034 Ph: (509) 891-7119 |
| NPI Number | 1427450535 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427450535 | NPI | - | NPPES |
| 1538314257 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | AP60478189 (Washington) | Primary |
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