Individual
STELLA KIMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1047 S WELLS ST, MERIDIAN, ID 83642-7997
(208) 297-3428
Mailing address
261 W VALENTINO ST, MERIDIAN , ID 83646, MERIDIAN, ID 83646
(253) 227-0018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-48675
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
78870
ID
Other
Enumeration date
03/18/2024
Last updated
09/03/2025
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