KYLE JOSEPH RONNAU ARNP NPI 1326584640

NPI Information

NPI: 1326584640
Provider Name: KYLE JOSEPH RONNAU, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: MERIDIAN ADVANCED PSYCHIATRY , LLC

PECOS Registration: Yes

Address:
1672 S WOODSAGE AVENUE
SUITE #120
MERIDIAN, ID
ZIP 83642
Phone: (208) 515-2273
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Kyle Joseph Ronnau, ARNP is a psychiatric/mental health nurse practitioner in Meridian, ID with 7 years of experience. Kyle Joseph Ronnau, ARNP NPI is 1326584640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1672 S WOODSAGE AVENUE
SUITE #120
MERIDIAN, ID
ZIP 83642
Phone: (208) 515-2273
Fax: (208) 515-2274

The NPI 1326584640 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2017 and was last updated on 2/21/2022.

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	363L00000X	Nurse Practitioner		55936	IDAHO	No
2	390200000X	Student in an Organized Health Care Education/Training Program		RN-41181	IDAHO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	55936	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55936	OTHER	IDAHO	IDAHO STATE BOARD OF NURSING

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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