Organization · Type 2 NPI
Treasure Valley Healthcare PLLC
Gerontology Nurse Practitioner · Meridian, ID
NPI number
1336762566
Active
Practice location
1120 S Rackham Way
Meridian, ID 83642-1092
Fax (208) 209-6058
Mailing address
5108 N Maidstone Way
Boise, ID 83713-1367
Other practice locations
- 5108 N Maidstone Way, Boise, ID 83713-1367 · (208) 577-8672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1336762566
Treasure Valley Healthcare PLLC's National Provider Identifier is 1336762566, issued on May 21, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Meridian, ID. The record was last updated on Jul 29, 2025.