Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLDE TOWN MEDICAL
Active OrganizationOLDE TOWN MEDICAL is a Adult Health Nurse Practitioner organization located in MERIDIAN, Idaho. NPI 1245690544 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · MERIDIAN, ID
Registration Details
- NPI Number
- 1245690544
- Provider Type
- Organization
- NPI Issued
- Feb 29, 2016 (10.501655876213 yrs)
- Last Updated
- Mar 11, 2016
Practice Information
- Address
-
124 E PINE AVEMERIDIAN, ID, 836422331Browse ID providers · Browse ZIP 83642
- Phone
- 2088875422
- Fax
- 2088886297
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.