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

Transformed Mind and Body LLC

Organization Family Nurse Practitioner · NPI 1063230449

Transformed Mind and Body LLC is a Family Nurse Practitioner in Nampa, Idaho. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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

824 17th Ave S Ste 15
Nampa, ID 83651-4780
Phone: (407) 865-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1063230449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joniruth Digaum — Nurse Practitioner · (407) 865-0101
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 2, 2024
Certification dateSeptember 30, 2024
Mailing address8040 S Red Cliff Ave, Boise, ID 83716-3466

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