| Nnu Health Inc. | |
|
823 E Amity Ave. Nampa ID 83686 | |
| (208) 467-8428 | |
| (800) 934-4028 |
| Full Name | Nnu Health Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 823 E Amity Ave., Nampa, Idaho |
| Authorized Official Name and Position | Steve Emerson (VP FINANCE AND OPERATIONS) |
| Authorized Official Contact | 2084678428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nnu Health Inc. 623 S University Blvd Nampa ID 83686-5800 Ph: (208) 467-8428 | Nnu Health Inc. 823 E Amity Ave. Nampa ID 83686 Ph: (208) 467-8428 |
| NPI Number | 1194509158 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 08/22/2023 |
| Medicare PECOS PAC ID | 3072964238 |
|---|---|
| Medicare Enrollment ID | O20240111004200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194509158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary R Kerr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144244054 PECOS PAC ID: 4880695063 Enrollment ID: I20180118001670 |
| Provider Name | Reynaldo Celestino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407325533 PECOS PAC ID: 3173860525 Enrollment ID: I20190123004122 |
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