Organization
BREATHE AIRWAY NP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MCRAE DNP, NP-C (MANAGING MEMBER)
(208) 484-5702
Entity
Organization
Contact information
Practice address
6500 N LINDER RD UNIT 106, MERIDIAN, ID 83646-6702
(208) 261-2318
Mailing address
6500 N LINDER RD UNIT 106, MERIDIAN, ID 83646-6702
(208) 261-2318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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