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

Pocatello Wellness Clinic, LLC

Organization Family Nurse Practitioner · NPI 1437615952

Pocatello Wellness Clinic, LLC is a Family Nurse Practitioner in Pocatello, Idaho. Registered with an NPI since 2019.

In the registry since
2019
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

1155 Yellowstone Ave Ste D
Pocatello, ID 83201-4369
Phone: (208) 637-9610
Fax: (208) 238-6162
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 number1437615952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dustin Reno — Owner · (208) 637-9610
NPI enumeratedFebruary 20, 2019
Last updated in NPPESApril 23, 2024
Certification dateMarch 17, 2020
Mailing address1155 Yellowstone Ave, Ste D, Pocatello, ID 83201-4369

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