Individual provider · Type 1 NPI
Mark Thomas Pyburn, NP
Nurse Practitioner · Meridian, ID
Practice location
867 S Vanguard Way
Meridian, ID 83642-7552
Fax (208) 302-7955
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
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 74921 (ID) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
Other nurse practitioner providers in Meridian
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- Melissa Marie Pannell, RN FNP-BCNurse Practitioner Meridian, ID NPI 1053756403
- Cheryl Fish, NPNurse Practitioner Meridian, ID NPI 1083185235
- Clayton Hawks, NPNurse Practitioner Meridian, ID NPI 1093342834
- Kenna Rae Hopkins, NPNurse Practitioner Meridian, ID NPI 1124739065
- Zachary Friberg, NPNurse Practitioner Meridian, ID NPI 1144046301
- Cassidy Cole Sloan, NPNurse Practitioner Meridian, ID NPI 1154285716
- Amos Haley, NPNurse Practitioner Meridian, ID NPI 1154733244
About NPI 1871206789
Mark Thomas Pyburn, NP's National Provider Identifier is 1871206789, issued on Jan 5, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Meridian, ID. The record was last updated on Sep 17, 2024.