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SOUTHERN IDAHO FAMILY MEDICINE PLLC NPI 1043868995


NPI Information

NPI: 1043868995
Provider Name: SOUTHERN IDAHO FAMILY MEDICINE PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 13D2172471

Address:
5524 S PINLAND AVE
MERIDIAN, ID
ZIP 83642
Phone: (208) 985-3864
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SOUTHERN IDAHO FAMILY MEDICINE PLLC is a family nurse practitioner in Meridian, ID. SOUTHERN IDAHO FAMILY MEDICINE PLLC NPI is 1043868995. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5524 S PINLAND AVE
MERIDIAN, ID
ZIP 83642-353
Phone: (208) 985-3864

The provider's authorized official is Paige Ziemer .
The authorized official title is Fnp/owner and has the following contact phone number (208) 871-8768.

The CLIA number assigned to this NPI record is 13D2172471 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2019 and was last updated on 9/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.