Individual provider · Type 1 NPI

Elizabeth Puckett Thurmond, RN MSN AGACNP-BC

Nurse Practitioner · Meridian, ID

NPI number 1902124142 Active

Practice location

3015 E Goldstone Dr Ste 230
Meridian, ID 83642-1224

Call (208) 398-4306 Map

Fax (208) 500-2823

Mailing address

9850 St Lukes Dr
Nampa, ID 83687-7912

Other practice locations

225 North Pine Street, Suite E, Gunnison, CO 81230 · (970) 641-0209
9850 St Lukes Dr, Nampa, ID 83687-7912 · (208) 505-2108

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	56592 (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…

2 other providers at this address

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About NPI 1902124142

Elizabeth Puckett Thurmond, RN MSN AGACNP-BC's National Provider Identifier is 1902124142, issued on May 12, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Meridian, ID. The record was last updated on Mar 14, 2025.