P Praxis·MD
● Active Type 2 · Organization

Rekindled Spirit Marshall Mental Health

Nurse Practitioner·Meridian, ID· NPI 1043057359 · Enumerated 2024 · 1 years on NPI
Rekindled Spirit Marshall Mental Health is 1 of 374 nurse practitioner organizations in Idaho.
NPI age
1 years
Enumerated 2024-07-12
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Marshall
Owner
Last NPPES update
2026-01-20
Source: monthly bulk 2026-05

How this organization compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
1 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-07Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
3512 W Newland Ct
Meridian, ID 836428947
📞 2089016691
Mailing address
3512 W Newland Ct
Meridian, ID 836428947
📞 2089016691

Authorized official

Ethel Anne Marshall
Owner
📞 2089016691

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP0808X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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