Organization · Type 2 NPI
Add Clinic of Idaho
Family Nurse Practitioner · Meridian, ID
NPI number
1801567029
Active
Practice location
1450 W Ustick Rd, Unit 102
Meridian, ID 83646
Mailing address
330 W Anton Dr
Meridian, ID 83646-2066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1801567029
Add Clinic of Idaho's National Provider Identifier is 1801567029, issued on Sep 27, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Meridian, ID. The record was last updated on Sep 27, 2021.