OrganizationActive
Ageless Women'S Health Id LLC
NPI 1235975202 · Adult Medicine Physician · Meridian, ID
Provider details
- NPI number
- 1235975202
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Teah Phillips, Credentialing Manager
Practice location
3875 E Overland Rd Ste 108
Meridian, ID 83642-9047
Phone: (208) 268-5592
Mailing address
3875 E Overland Rd Ste 108
Meridian, ID 83642-9047
Registry dates
- Enumerated
- 2024-07-08
- Last updated
- 2024-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.