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Contact Information

ADDI
1526 W USTICK RD STE 110
MERIDIAN, ID83646-7741
 Phone: 208-370-5888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADDI

NPI # 1326877762
LBN Legal business name ADDI
Authorized official KYLE RONNAU - (CEO/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/01/2024
Last updated 10/14/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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