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

Idaho State University

Organization Primary Care Nurse Practitioner · NPI 1962095711

Idaho State University is a Primary Care Nurse Practitioner in Meridian, Idaho. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1311 E Central Dr
Meridian, ID 83642-7991
Phone: (208) 373-1734
Fax: (833) 499-1813
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1962095711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Rock — Clinics Director Of Operations · (208) 373-1743
Other names Isu Meridian Healthcare
NPI enumeratedFebruary 12, 2021
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021
Mailing address1311 E Central Dr, Meridian, ID 83642-7991

Other providers in Meridian