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Kellie Ann Northam, CNM
Psychiatric/Mental Health Nurse Practitioner in Eagle, Idaho
NPI 1053650010

Kellie Ann Northam is a Psychiatric/Mental Health Nurse Practitioner based in Nampa, ID and is specialized in Psychiatric/Mental Health. Kellie Ann Northam practices in Eagle, ID and has the professional credentials of CNM. The NPI Number for Kellie Ann Northam is 1053650010 and holds a License No. CNM81-A (Idaho).

The current practice location address for Kellie Ann Northam is 192 West State Street, Eagle, ID and can be reached out via phone at 208-807-2867 and via fax at 208-639-2736. You can also correspond with Kellie Ann Northam through the mailing address at 919 13TH AVE S, NAMPA, ID - 83651-4618 (mailing address contact number: 712-828-0234).

Location: 192 West State Street, Eagle, ID, 83651-4618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053650010
Provider Name
Kellie Ann Northam
Credential
CNM
Provider Entity Type
Individual
Gender
Female
Address
192 West State Street, Eagle, ID, 83651-4618
Phone Number
208-807-2867
Fax Number
208-639-2736
Provider Enumeration Date
02/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
192 West State Street
City
Eagle
State
Idaho
Zip
83616
Phone Number
208-807-2867
Fax Number
208-639-2736
person
Provider Business Mailing Address Details
Address
919 13Th Ave S
City
Nampa
State
Idaho
Zip
83651-4618
Phone Number
712-828-0234
Fax Number
208-965-8789
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
CNP (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Advanced Practice Midwife
Speciality
-
Taxonomy
367A00000X
License No.
CNM81-A (Idaho)
Definition
Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
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