King, Merri Ann

King, Merri Ann is an individual health care provider with primary practice located at 267 N Canyon Dr , Gooding ID 83330-5500. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. King, Merri Ann can be contacted via phone (208) 934-4433.

Contact Information

Primary practice address
267 N Canyon Dr Gooding ID 83330-5500
Fax: (208) 934-4433
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X N-23187 Idaho

Profile Details

NPI number 1922506146
LBN Legal business name King, Merri Ann
Credentials RN CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2018
Last updated Jan 23rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922506146 NPPES
Idaho MEDICAID 1609046671
Idaho Other 1370131

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