Organization · NPI-2

5 Peppers INC

Family Medicine · Nampa, ID

NPI number1437504909
StatusActive
Last updated in NPPESMay 3, 2016

Details

NPI
1437504909
Entity type
Organization (NPI-2)
Legal business name
5 Peppers INC
Organization subpart
No
Enumeration date
May 3, 2016
Last updated
May 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Acacia Wellness Center (Doing Business As)

Practice location

217 W. Georgia Ave. Ste 120
Nampa, ID 83686

Phone 208-498-1760

Mailing address

217 W. Georgia Ave. Ste 120
Nampa, ID 83686

Phone 208-498-1760

Authorized official

Deo Marie Peppersack
Owner
2084981760

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Nampa, ID