# TREASURE VALLEY PAIN CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1477321537
- **Authorized official:** ANNA V MARTSENYUK (APRN, CNS/MANAGER)
- **Authorized official phone:** (208) 505-4744

## Contact information

- **Practice address:** 2102 W EVEREST LN STE 100, MERIDIAN, ID 83646-7033
- **Practice address phone:** (208) 505-4744
- **Practice address fax:** (844) 402-0970
- **Mailing address:** 2102 W EVEREST LN STE 100, MERIDIAN, ID 83646-7033
- **Mailing address phone:** (208) 505-4744
- **Mailing address fax:** (844) 402-0970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2023
- **Last updated:** 06/26/2026