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

Mmg LLC

Organization Nurse Practitioner · NPI 1407469166

Mmg LLC is a Nurse Practitioner in Meridian, Idaho. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2440 S Titanium Pl
Meridian, ID 83642-6703
Phone: (208) 456-2659
Fax: (208) 454-0854
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1407469166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Norris — Managing Partner · (801) 485-6166
Other names Mobile Medical Group; Mobile Medical Group
NPI enumeratedAugust 24, 2020
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022
Mailing address450 S 900 E Ste 100, Salt Lake City, UT 84102-2983

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