Individual
MARY MEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10255 W OVERLAND RD, BOISE, ID 83709-1430
(208) 302-5600
(208) 302-5655
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
60321
ID
Other
Enumeration date
11/16/2023
Last updated
01/21/2025
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