IndividualActive
Bryan Walters, RN
NPI 1639722168 · Cardiac Rehabilitation Registered Nurse · Meridian, ID
Provider details
- NPI number
- 1639722168
- Entity type
- Individual
- Primary specialty
- Cardiac Rehabilitation Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 47491 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
3525 E Louise Dr Ste 500
Meridian, ID 83642-6305
Phone: (208) 706-7050
Approximate (ZIP-level) locationGet directions
Mailing address
3525 E Louise Dr Ste 500
Meridian, ID 83642-6305
Registry dates
- Enumerated
- 2019-07-23
- Last updated
- 2019-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.