Kierianna Martinez
Nurse Practitioner, Family in Meridian, ID. Individual provider (NPI-1).
NPI number1962336735
StatusActive
Last updated in NPPESJul 17, 2026
Details
- NPI
- 1962336735
- Entity type
- Individual (NPI-1)
- Name
- Kierianna Martinez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2026
- Certification date
- Jul 17, 2026
- Last updated
- Jul 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F06260308 | ID | Yes |
Practice location
2667 E Gala Ct Ste 110Meridian, ID 83642-2791
Phone 208-944-2354
Mailing address
2667 E Gala Ct Ste 110Meridian, ID 83642-2791
Phone 208-944-2354
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