Organization
REKINDLED SPIRIT MARSHALL MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL ANNE MARSHALL (OWNER)
(208) 901-6691
Entity
Organization
Contact information
Practice address
3512 W NEWLAND CT, MERIDIAN, ID 83642-8947
(208) 901-6691
Mailing address
3512 W NEWLAND CT, MERIDIAN, ID 83642-8947
(208) 901-6691
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
01/20/2026
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