Search › Idaho › 163WC0400X
Anna Prudnikov
NPI 1497694277 · on the registry since 2026
Practice
- Address
- 1109 W Loon St
Meridian, ID 83642 - Phone
- (208) 440-0044
Registry record
- Primary taxonomy
- 163WC0400X
163WC0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho