Organization · Type 2 NPI
Table Rock Mobile Medicine PLLC
Family Nurse Practitioner · Meridian, ID
NPI number
1194186437
Active
Practice location
3090 E Gentry Way Ste 210
Meridian, ID 83642-3550
Fax (844) 268-7286
Mailing address
PO Box 44953
Boise, ID 83711-0953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP-1252A (ID) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Meridian
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- Southern Idaho Family Medicine PLLCFamily Nurse Practitioner Meridian, ID NPI 1043868995
- Bespoke Body & WellnessFamily Nurse Practitioner Meridian, ID NPI 1104680602
- Morgan Family MedicineFamily Nurse Practitioner Meridian, ID NPI 1285293118
- At Home Medical Partners, PLLCFamily Nurse Practitioner Meridian, ID NPI 1295138261
- Allante Family Medicine PLLCFamily Nurse Practitioner Meridian, ID NPI 1326345661
- Evergreen Physical Medicine, LLCFamily Nurse Practitioner Meridian, ID NPI 1538668421
- Allcorp LLCFamily Nurse Practitioner Meridian, ID NPI 1568093136
About NPI 1194186437
Table Rock Mobile Medicine PLLC's National Provider Identifier is 1194186437, issued on Mar 15, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Meridian, ID. The record was last updated on May 11, 2024.