| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1245500826 | BURKS | MICHELLE | MARIE | 1500 E HERITAGE PARK ST STE 150 | MERIDIAN | ID | 836465800 | |
| 1447865373 | LANDERS | ALI | 1500 E HERITAGE PARK ST STE 150 | MERIDIAN | ID | 836465800 | ||
| 1881027431 | LANGE-MONNIG | KATHRYN | PATRICIA | 1500 E HERITAGE PARK ST STE 150 | MERIDIAN | ID | 836465800 |