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 is a Nurse Practitioner 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