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

Wellnite Medical Group PA

Organization Neurology Physician · NPI 1417739038

Wellnite Medical Group PA is a Neurology Physician in Nampa, Idaho. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1105 2nd St S
Nampa, ID 83651-3911
Phone: (650) 761-9770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1417739038
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elisa Swan — Ceo · (855) 731-1410
NPI enumeratedOctober 18, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address2261 Market St # 4058, San Francisco, CA 94114-1612

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