Individual
JOHN TANNER MEIRNDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP,
Contact information
Practice address
2584 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(208) 906-2558
(833) 973-3618
Mailing address
2584 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(208) 906-2558
(833) 973-3618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8161577
ID
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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