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

Emmanuel Tobiloba Fasooto, DNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457272700

Emmanuel Tobiloba Fasooto, DNP, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1672 S Woodsage Ave
Meridian, ID 83642-8329
Phone: (208) 248-4683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 8381022 (ID)

Record details

NPI number1457272700
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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