Individual provider · NPI-1

Mberwa Abdi

Peer Specialist · Boise, ID

NPI number1295660819
StatusActive
Last updated in NPPESJun 15, 2026

Details

NPI
1295660819
Entity type
Individual (NPI-1)
Name
Mberwa Abdi
Sex
Male
Sole proprietor
No
Enumeration date
Jun 15, 2026
Certification date
Jun 15, 2026
Last updated
Jun 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist–IDYes

Practice location

1111 S Orchard St Ste 102
Boise, ID 83705-1961

Phone 208-919-4692

Mailing address

3905 W Alpine St Apt 64d
Boise, ID 83705-1442

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