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

Essential Life Boise, LLC

Organization Medical Specialty Clinic/Center · NPI 1669727400

Essential Life Boise, LLC is a Medical Specialty Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13125 W Persimmon Ln Ste 100
Boise, ID 83713
Phone: (208) 991-0352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence CHIA1466 (ID)

Record details

NPI number1669727400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yvonne Fedewa — Owner · (208) 991-0352
NPI enumeratedJuly 18, 2012
Last updated in NPPESJuly 18, 2012
Mailing address13125 W Persimmon Ln, Suite 100, Boise, ID 83713

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