Organization · Type 2 NPI
Origin Health & Longevity PLLC
Nurse Practitioner · Meridian, ID
Practice location
4686 N Alameda Creek Ave
Meridian, ID 83646-2017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1174453757
Origin Health & Longevity PLLC's National Provider Identifier is 1174453757, issued on May 23, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Meridian, ID. The record was last updated on May 23, 2026.