Individual provider · Type 1 NPI
Kendall Vanjo, FNP, RN
Family Nurse Practitioner · Meridian, ID
NPI number
1174333694
Active
Practice location
2330 W Everest Ln, Suite 100
Meridian, ID 83646
Mailing address
3628 N Costa Madera Way
Star, ID 83669-1127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 6961274 (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174333694
Kendall Vanjo, FNP, RN's National Provider Identifier is 1174333694, issued on Jan 8, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Meridian, ID. The record was last updated on Jan 8, 2025.