Marlo Pichardo, PAC

NPI 1699842021 · on the registry since 2006

Practice

Address: 408 S Eagle Rd Ste 205
Eagle, ID 83616
Phone: (208) 740-8797
Fax: (530) 237-0772
Organisation at this address: Balanced Bites Nutrition Llc
River Bend Behavioral Health
Shadow Pines Health & Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363A00000X
Licence states on file: FL, ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho