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 provides Family Nurse Practitioner services 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
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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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