Individual
KIERIANNA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2667 E GALA CT STE 110, MERIDIAN, ID 83642-2791
(208) 944-2354
Mailing address
2667 E GALA CT STE 110, MERIDIAN, ID 83642-2791
(208) 944-2354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06260308
ID
Other
Enumeration date
06/09/2026
Last updated
07/17/2026
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