Provider Demographics
NPI:1437925781
Name:TALBOY, ELIZABETH L (HOLISTIC HEALTH PRAC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:L
Last Name:TALBOY
Suffix:
Gender:F
Credentials:HOLISTIC HEALTH PRAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 W PICKFORD ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-5320
Mailing Address - Country:US
Mailing Address - Phone:208-401-5193
Mailing Address - Fax:
Practice Address - Street 1:644 W PICKFORD ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-5320
Practice Address - Country:US
Practice Address - Phone:208-401-5193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID268034309364SH1100X
ID252634205171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No364SH1100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHolistic