NPI 1902768401

Vanese Itangishaka

Practitioner Rehabilitation Practitioner Meridian, ID

Practice location

Address: 3288 E Pine Ave APT 211, Meridian, ID 83642-5922
Phone: (208) 888-8887

Registered specialties (2)

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1902768401
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2025
Record last updated: 2 Dec 2025

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.