institution
High Tide Psychiatry, Pllc
Psychiatric/Mental Health Nurse Practitioner in Idaho Falls, Idaho
NPI 1023762119

High Tide Psychiatry, Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Idaho Falls, ID and is specialized in Psychiatric/Mental Health. High Tide Psychiatry, Pllc practices in Idaho Falls, ID. The NPI Number for High Tide Psychiatry, Pllc is 1023762119 and holds a License No. (Idaho).

The current practice location address for High Tide Psychiatry, Pllc is 1500 Pancheri Dr Ste 4, Idaho Falls, ID and can be reached out via phone at 208-557-3870. You can also correspond with High Tide Psychiatry, Pllc through the mailing address at 1500 PANCHERI DR STE 4, IDAHO FALLS, ID - 83402-3212 (mailing address contact number: 208-557-3870).

Location: 1500 Pancheri Dr Ste 4, Idaho Falls, ID, 83402-3212
institution
Provider Profile Details
NPI Number
1023762119
Provider Name
High Tide Psychiatry, Pllc
Credential
Provider Entity Type
Organization
Address
1500 Pancheri Dr Ste 4, Idaho Falls, ID, 83402-3212
Phone Number
208-557-3870
Fax Number
Provider Enumeration Date
02/08/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1500 Pancheri Dr Ste 4
City
State
Zip
83402-3212
Phone Number
208-557-3870
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Pancheri Dr Ste 4
City
State
Zip
83402-3212
Phone Number
208-557-3870
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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