Nurse Practitioner, Family
COMPLETE EMBODIMENT WELLNESS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1932811296 · enumerated 2022-12-19 · record updated 2023-05-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TONI BENNETT, Credentialing Specialist · (208) 810-2319
Addresses and phones
- Practice location 7683 W EMERALD ST, BOISE, ID, 83704-9018 (208) 376-2522 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 44124, BOISE, ID, 83711-0124 (208) 384-9022 Fax (208) 947-3465 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary
In this directory
Locations and evidence
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Practice location
BOISE, ID, 837049018
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.