MERIDIAN FAMILY MEDICINE NPI 1093101438

NPI Information

NPI: 1093101438
Provider Name: MERIDIAN FAMILY MEDICINE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
444 HOSPITAL WAY
ROOM 219
POCATELLO, ID
ZIP 83209
Phone: (208) 530-1087
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MERIDIAN FAMILY MEDICINE is a family nurse practitioner in Pocatello, ID. MERIDIAN FAMILY MEDICINE NPI is 1093101438. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

444 HOSPITAL WAY
ROOM 219
POCATELLO, ID
ZIP 83209-745
Phone: (208) 530-1087
Fax: (888) 415-9555

The provider's authorized official is Natalia A Dunn .
The authorized official title is Owner and has the following contact phone number (208) 530-1087.

The enumeration date for this NPI number is 4/13/2015 and was last updated on 4/30/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family		IDAHO	Yes

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

NPI Synchronization or Removal

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