Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Meridian Physical Medicine

Organization Nurse Practitioner · NPI 1881144780

Meridian Physical Medicine provides Nurse Practitioner services in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2016.

Licensed in
ID
In the registry since
2016

Practice location Address checks out

2016 S Eagle Rd Ste B
Meridian, ID 83642-6707
Phone: (208) 887-6810
Fax: (208) 887-6797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP-1345A (ID)

Record details

NPI number1881144780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Makayla Runyan — Vice President · (208) 887-6810
NPI enumeratedOctober 4, 2016
Last updated in NPPESOctober 4, 2016
Mailing address2016 S Eagle Rd, Suite B, Meridian, ID 83642-6707

Other providers in Meridian