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

Olde Town Medical

Organization Adult Health Nurse Practitioner · NPI 1245690544

Olde Town Medical is an Adult Health Nurse Practitioner in Meridian, Idaho. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

124 E Pine Ave
Meridian, ID 83642-2331
Phone: (208) 887-5422
Fax: (208) 888-6297
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1245690544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Tomey — Provider/Owner · (208) 888-5422
NPI enumeratedFebruary 29, 2016
Last updated in NPPESMarch 11, 2016
Mailing address124 E Pine Ave, Meridian, ID 83642-2331

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