Organization · Type 2 NPI

Southern Idaho Family Medicine PLLC

Family Nurse Practitioner · Meridian, ID

NPI number 1043868995 Active

Practice location

5524 S Pinland Ave
Meridian, ID 83642-7353

Call (208) 985-3864 Map

Mailing address

1200 N Main St Unit 184
Meridian, ID 83680-5013

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1043868995

Southern Idaho Family Medicine PLLC's National Provider Identifier is 1043868995, issued on Sep 3, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Meridian, ID. The record was last updated on Sep 3, 2019.