IndividualActive
Mary Meacham, NP
NPI 1265207534 · Primary Care Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1265207534
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 60321 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10255 W Overland Rd
Boise, ID 83709-1430
Phone: (208) 302-5600
Fax: (208) 302-5655
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (1)
- 8971 W Overland RdBoise, ID 83709-1651Phone: (208) 378-4288Fax: (208) 378-4297
Registry dates
- Enumerated
- 2023-11-16
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.