Organization · Type 2 NPI
Rekindled Spirit Marshall Mental Health
Psychiatric/Mental Health Nurse Practitioner · Meridian, ID
NPI number
1043057359
Active
Practice location
3512 W Newland Ct
Meridian, ID 83642-8947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1043057359
Rekindled Spirit Marshall Mental Health's National Provider Identifier is 1043057359, issued on Jul 12, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Meridian, ID. The record was last updated on Jan 20, 2026.