OrganizationActive
Sacred Roots Fertility Consulting, PLLC
NPI 1992655526 · Women's Health Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1992655526
- Entity type
- Organization
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brennan Carmody, Ceo(208) 631-2121
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
176 E Calderwood Dr Ste 125d
Meridian, ID 83642-9095
Phone: (208) 402-8946
Fax: (208) 248-6939
Approximate (ZIP-level) locationGet directions
Mailing address
2169 W Oakhampton Dr
Eagle, ID 83616-7632
Registry dates
- Enumerated
- 2026-02-02
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.