# BREATHE AIRWAY MYO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326727967
- **Authorized official:** DR. JOHN K MCRAE NP (MANAGING MEMBER)
- **Authorized official phone:** (208) 484-5702

## Contact information

- **Practice address:** 6500 N LINDER RD UNIT 106, MERIDIAN, ID 83646-6702
- **Practice address phone:** (208) 261-2318
- **Mailing address:** 6500 N LINDER RD UNIT 106, MERIDIAN, ID 83646-6702
- **Mailing address phone:** (208) 261-2318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2023
- **Last updated:** 07/12/2023