Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bespoke Body & Wellness

Organization Family Nurse Practitioner · NPI 1104680602

Bespoke Body & Wellness is a Family Nurse Practitioner in Meridian, Idaho. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4028 N Quenzer Way
Meridian, ID 83646-5928
Phone: (208) 398-9974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1104680602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alison Melle — Np/Owner · (208) 398-9974
NPI enumeratedFebruary 6, 2024
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing address4028 N Quenzer Way, Meridian, ID 83646-5928

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