Individual provider · Type 1 NPI

Vanese Itangishaka

Rehabilitation Practitioner · Meridian, ID

NPI number 1902768401 Active

Practice location

3288 E Pine Ave Apt 211
Meridian, ID 83642-5922

Call (208) 888-8887 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1902768401

Vanese Itangishaka's National Provider Identifier is 1902768401, issued on Dec 2, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Meridian, ID. The record was last updated on Dec 2, 2025.