Provider Demographics
NPI:1568184174
Name:BETTER HEALTH WITH NICOLE LLC
Entity Type:Organization
Organization Name:BETTER HEALTH WITH NICOLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:208-261-4233
Mailing Address - Street 1:1175 CALL PL STE 100H
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-4990
Mailing Address - Country:US
Mailing Address - Phone:208-261-4233
Mailing Address - Fax:208-205-9189
Practice Address - Street 1:1155 POCATELLO CREEK RD STE A
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-2949
Practice Address - Country:US
Practice Address - Phone:208-261-4233
Practice Address - Fax:208-205-9189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center