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Idaho State University
Psychiatric/Mental Health Nurse Practitioner in Meridian, Idaho
NPI 1366033094

Idaho State University is a Psychiatric/Mental Health Nurse Practitioner based in Meridian, ID and is specialized in Psychiatric/Mental Health. Idaho State University practices in Meridian, ID. The NPI Number for Idaho State University is 1366033094 and holds a License No. (Idaho).

The current practice location address for Idaho State University is 1311 E Central Dr, Meridian, ID and can be reached out via phone at 208-373-1979 and via fax at 833-499-1813.

Location: 1311 E Central Dr, Meridian, ID, 83642-7991
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366033094
Provider Name
Idaho State University
Credential
Provider Entity Type
Organization
Address
1311 E Central Dr, Meridian, ID, 83642-7991
Phone Number
208-373-1979
Fax Number
833-499-1813
Provider Enumeration Date
01/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1311 E Central Dr
City
Meridian
State
Idaho
Zip
83642-7991
Phone Number
208-373-1979
Fax Number
833-499-1813
person
Provider Business Mailing Address Details
Address
1311 E Central Dr
City
Meridian
State
Idaho
Zip
83642-7991
Phone Number
208-373-1979
Fax Number
833-499-1813
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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