institution
Treasure Valley Psychiatry And Mental Health Pllc
Psychiatric/Mental Health Nurse Practitioner in Chubbuck, Idaho
NPI 1306496880

Treasure Valley Psychiatry And Mental Health Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Pocatello, ID and is specialized in Psychiatric/Mental Health. Treasure Valley Psychiatry And Mental Health Pllc practices in Chubbuck, ID. The NPI Number for Treasure Valley Psychiatry And Mental Health Pllc is 1306496880 and holds a License No. (Idaho).

The current practice location address for Treasure Valley Psychiatry And Mental Health Pllc is 4650 Hawthorne Rd Ste 3B, Chubbuck, ID and can be reached out via phone at 208-252-5621 and via fax at 208-648-4167.

Location: 4650 Hawthorne Rd Ste 3B, Chubbuck, ID, 83206-2516
institution
Provider Profile Details
NPI Number
1306496880
Provider Name
Treasure Valley Psychiatry And Mental Health Pllc
Credential
Provider Entity Type
Organization
Address
4650 Hawthorne Rd Ste 3B, Chubbuck, ID, 83206-2516
Phone Number
208-252-5621
Fax Number
208-648-4167
Provider Enumeration Date
09/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1902462039 05 ID
institution
Provider Business Practice Location Address Details
Address
4650 Hawthorne Rd Ste 3B
City
State
Zip
83202-2376
Phone Number
208-252-5621
Fax Number
208-648-4167
person
Provider Business Mailing Address Details
Address
4650 Hawthorne Rd Ste 3B
City
State
Zip
83202-2376
Phone Number
208-252-5621
Fax Number
208-648-4167
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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