Breathe Airway Myo, LLC

NPI #1326727967 in Meridian, Idaho

Provider Information

NPI Number
1326727967
Entity Type
Organization
Organization Name
Breathe Airway Myo, LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Jul 12, 2023
Last Updated
Jul 12, 2023

Practice Location

Address
6500 N LINDER RD UNIT 106
State
Idaho
ZIP Code
83646-6702
Phone
(208) 261-2318

Authorized Official

Name
DR. JOHN K MCRAE, NP
Title
MANAGING MEMBER
Phone
(208) 484-5702

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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