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

Individual provider Family Nurse Practitioner · NPI 1740663657

Meredith Mangum, FNP-C is a Nurse Practitioner in Boise, Idaho. Qualified in 2015, 11 years ago. Practices with Mangum Primary Care LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
11
Licensed in
ID
In the registry since
2015
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

608 S Phillippi St
Boise, ID 83705-1160
Phone: (208) 580-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-1579A (ID)

Record details

NPI number1740663657
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 9, 2015
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mangum Primary Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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