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

Kaitlin Cooley, FNP-C

Individual provider Nurse Practitioner · NPI 1962160192

Kaitlin Cooley, FNP-C is a Nurse Practitioner in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4740 N Penngrove Way Ste 100
Meridian, ID 83646-7446
Phone: (208) 938-3663
Fax: (208) 938-3664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 58738 (ID)

Record details

NPI number1962160192
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 5, 2021
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022
Mailing address4740 N Penngrove Way Ste 100, Meridian, ID 83646-7446

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