institution
Telemental Health Link Llc
Psychiatric/Mental Health Nurse Practitioner in Meridian, Idaho
NPI 1437783529

Telemental Health Link Llc is a Psychiatric/Mental Health Nurse Practitioner based in Meridian, ID and is specialized in Psychiatric/Mental Health. Telemental Health Link Llc practices in Meridian, ID. The NPI Number for Telemental Health Link Llc is 1437783529 and holds a License No. (Idaho).

The current practice location address for Telemental Health Link Llc is 4055 E Blueberry St, Meridian, ID and can be reached out via phone at 208-775-7418 and via fax at 208-647-5008. You can also correspond with Telemental Health Link Llc through the mailing address at 4055 E BLUEBERRY ST, MERIDIAN, ID - 83642-8261 (mailing address contact number: 208-600-2060).

Location: 4055 E Blueberry St, Meridian, ID, 83642-8261
institution
Provider Profile Details
NPI Number
1437783529
Provider Name
Telemental Health Link Llc
Credential
Provider Entity Type
Organization
Address
4055 E Blueberry St, Meridian, ID, 83642-8261
Phone Number
208-775-7418
Fax Number
208-647-5008
Provider Enumeration Date
02/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
396453OSMIND 01 CHANGE HEALTHCARE MASTER BILLING ID
58322 01 NM NURSING LICENSE
58322 01 NM NEW MEXICO APRN CNP LICENSE
020837 05 ID
13961493 01 CAQH ID
64266 01 ID NURSING LICENSE
03962 01 LA NURSING LICENSE
1529234 01 NCSBN ID
0364158 01 ANCC CERTIFICATION NO.
363LP0808X 01 LA TAXONOMIES: NURSE PRACTITIONER PSYCH MENTAL HEALTH
P69441 01 LA UPIN
institution
Provider Business Practice Location Address Details
Address
4055 E Blueberry St
City
State
Zip
83642-8261
Phone Number
208-775-7418
Fax Number
208-647-5008
person
Provider Business Mailing Address Details
Address
4055 E Blueberry St
City
State
Zip
83642-8261
Phone Number
208-775-7418
Fax Number
208-647-5008
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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