person
Blake Mcdonald, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Caldwell, Idaho
NPI 1396379475

Blake Mcdonald is a Psychiatric/Mental Health Nurse Practitioner based in Atlanta, ID and is specialized in Psychiatric/Mental Health. Blake Mcdonald practices in Caldwell, ID and has the professional credentials of PMHNP. The NPI Number for Blake Mcdonald is 1396379475 and holds a License No. 63996 (Idaho).

The current practice location address for Blake Mcdonald is 1906 Fairview Ave Ste 220, Caldwell, ID and can be reached out via phone at 208-795-5072 and via fax at 208-402-0068.

Location: 1906 Fairview Ave Ste 220, Caldwell, ID, 30384-7976
person
Provider Profile Details
NPI Number
1396379475
Provider Name
Blake Mcdonald
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
1906 Fairview Ave Ste 220, Caldwell, ID, 30384-7976
Phone Number
208-795-5072
Fax Number
208-402-0068
Provider Enumeration Date
02/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1906 Fairview Ave Ste 220
City
State
Zip
83605-5432
Phone Number
208-795-5072
Fax Number
208-402-0068
person
Provider Business Mailing Address Details
Address
1906 Fairview Ave Ste 220
City
State
Zip
83605-5432
Phone Number
208-795-5072
Fax Number
208-402-0068
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
63996 (Idaho)
Definition
Definition to come...
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