Individual provider · Type 1 NPI
Kyle Joseph Ronnau, ARNP
Psychiatric/Mental Health Nurse Practitioner · Meridian, ID
NPI number
1326584640
Active
Practice location
1672 S Woodsage Avenue, Suite #120
Meridian, ID 83642
Fax (208) 515-2274
Other practice locations
- 1660 S Woodsage Ave, Meridian, ID 83642-7670 · (208) 515-2273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 55936 (ID) |
| Student in an Organized Health Care Education/Training Program | 390200000X | RN-41181 (ID) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 55936 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1326584640
Kyle Joseph Ronnau, ARNP's National Provider Identifier is 1326584640, issued on Jan 10, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Meridian, ID. The record was last updated on Feb 21, 2022.