Organization · Type 2 NPI

Meridian Physical Medicine

Nurse Practitioner · Meridian, ID

NPI number 1881144780 Active

Practice location

2016 S Eagle Rd, Suite B
Meridian, ID 83642-6707

Fax (208) 887-6797

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP-1345A (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…

8 other providers at this address

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About NPI 1881144780

Meridian Physical Medicine's National Provider Identifier is 1881144780, issued on Oct 4, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Meridian, ID. The record was last updated on Oct 4, 2016.