TREASURE VALLEY HEALTHCARE PLLC NPI 1336762566

NPI Information

  • NPI: 1336762566
  • Provider Name: TREASURE VALLEY HEALTHCARE PLLC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Address: 1120 S RACKHAM WAY
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 577-8672

Map and Directions

Get Directions

NPI Details

TREASURE VALLEY HEALTHCARE PLLC is a gerontology nurse practitioner in Meridian, ID. TREASURE VALLEY HEALTHCARE PLLC NPI is 1336762566. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1120 S RACKHAM WAY
MERIDIAN, ID
ZIP 83642-092
Phone: (208) 577-8672
Fax: (208) 209-6058

The provider's authorized official is Candice Elaine Adams .
The authorized official title is Ceo and has the following contact phone number (208) 577-8672.

The enumeration date for this NPI number is 5/21/2020 and was last updated on 7/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthNo
2363LG0600XNurse PractitionerGerontologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.