Organization · Type 2 NPI

Addi

Psychiatric/Mental Health Nurse Practitioner · Meridian, ID

NPI number 1326877762 Active

Practice location

1526 W Ustick Rd Ste 110
Meridian, ID 83646-7741

Call (208) 370-5888 Map

Mailing address

1672 S Woodsage Ave
Meridian, ID 83642-8329

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

Jennifer Lytle, FNP-CFamily Nurse Practitioner Meridian, ID NPI 1003409913
Jeremiah Robins Clark, FNP-BCPsychiatric/Mental Health Nurse Practitioner Meridian, ID NPI 1356123657

Other psychiatric/mental health nurse practitioner providers in Meridian

See all in Meridian →

NPI record

NPI: 1326877762
Entity type: Organization (Type 2)
Issued: Aug 1, 2024
Last updated: Oct 14, 2024
Status: Active
Subpart: Yes of Meridian Advanced Psychiatry , LLC

Other names

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Add Clinic of Idaho · doing business as
Add Clinic of Idaho · doing business as
Addi, LLC · other name

Authorized official

Kyle Ronnau, NP, PMHNP
CEO/medical Director
(208) 515-2273

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1326877762

Addi's National Provider Identifier is 1326877762, issued on Aug 1, 2024. 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 Oct 14, 2024.