NPI 1114851490

Elizabeth Mundagoya

Practitioner Peer Specialist Meridian, ID

Practice location

Address: 1061 E Klamath Ln, Meridian, ID 83646-6647
Phone: (120) 891-9469

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence AD014610U (ID)

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Registry record

NPI: 1114851490
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2026
Record last updated: 11 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.