IndividualActive
Andrea Kennedy, APRN
NPI 1831321348 · Family Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1831321348
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 3971 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3041 E Copper Point Dr
Meridian, ID 83642-1740
Phone: (208) 514-4400
Fax: (208) 514-4404
Approximate (ZIP-level) locationGet directions
Mailing address
2036 N Cole Rd
Boise, ID 83704-7309
Registry dates
- Enumerated
- 2009-08-17
- Last updated
- 2018-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.