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

Lily Pad Wellness, LLC

Organization Nurse Practitioner · NPI 1275214660

Lily Pad Wellness, LLC is a Nurse Practitioner in Pocatello, Idaho. Registered with an NPI since 2023.

In the registry since
2023
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

1951 Bench Rd Ste A
Pocatello, ID 83201-2073
Phone: (208) 549-7385
Fax: (208) 216-6761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1275214660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Clark — Owner · (208) 549-7385
NPI enumeratedJuly 27, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address1951 Bench Rd Ste A, Pocatello, ID 83201-2073

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