institution
Idaho State University
Primary Care Nurse Practitioner in Meridian, Idaho
NPI 1962095711

Idaho State University is a Primary Care Nurse Practitioner based in Meridian, ID and is specialized in Primary Care. Idaho State University practices in Meridian, ID. The NPI Number for Idaho State University is 1962095711 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 208-373-1734 and via fax at 833-499-1813.

Location: 1311 E Central Dr, Meridian, ID, 83642-7991
institution
Provider Profile Details
NPI Number
1962095711
Provider Name
Idaho State University
Credential
Provider Entity Type
Organization
Address
1311 E Central Dr, Meridian, ID, 83642-7991
Phone Number
208-373-1734
Fax Number
833-499-1813
Provider Enumeration Date
02/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1311 E Central Dr
City
State
Zip
83642-7991
Phone Number
208-373-1734
Fax Number
833-499-1813
person
Provider Business Mailing Address Details
Address
1311 E Central Dr
City
State
Zip
83642-7991
Phone Number
208-373-1734
Fax Number
833-499-1813
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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