IndividualActive
Vanese Itangishaka
NPI 1902768401 · Rehabilitation Practitioner · Meridian, ID
Provider details
- NPI number
- 1902768401
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
3288 E Pine Ave Apt 211
Meridian, ID 83642-5922
Phone: (208) 888-8887
Approximate (ZIP-level) locationGet directions
Mailing address
3288 E Pine Ave Apt 211
Meridian, ID 83642-5922
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.