Individual provider · Type 1 NPI

Mary Meacham, NP

Primary Care Nurse Practitioner · Boise, ID

NPI number 1265207534 Active

Practice location

10255 W Overland Rd
Boise, ID 83709-1430

Fax (208) 302-5655

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 8971 W Overland Rd, Boise, ID 83709-1651 · (208) 378-4288

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X60321 (ID)

Primary Care Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1265207534

Mary Meacham, NP's National Provider Identifier is 1265207534, issued on Nov 16, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Boise, ID. The record was last updated on Jan 21, 2025.