Organization
SACRED ROOTS FERTILITY CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNAN NICOLE CARMODY NP, CEO (CEO)
(208) 631-2121
Entity
Organization
Contact information
Practice address
176 E CALDERWOOD DR STE 125D, MERIDIAN, ID 83642-9095
(208) 402-8946
(208) 248-6939
Mailing address
2169 W OAKHAMPTON DR, EAGLE, ID 83616-7632
(208) 402-8946
(208) 248-6939
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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