institution
New Moon Mental Health Llc
Psychiatric/Mental Health Nurse Practitioner in Idaho Falls, Idaho
NPI 1508647983

New Moon Mental Health Llc is a Psychiatric/Mental Health Nurse Practitioner based in Idaho Falls, ID and is specialized in Psychiatric/Mental Health. New Moon Mental Health Llc practices in Idaho Falls, ID. The NPI Number for New Moon Mental Health Llc is 1508647983 and holds a License No. (Idaho).

The current practice location address for New Moon Mental Health Llc is 1970 E 17Th St Ste 111B, Idaho Falls, ID and can be reached out via phone at 208-541-5257 and via fax at 208-742-2695.

Location: 1970 E 17Th St Ste 111B, Idaho Falls, ID, 83404-8046
institution
Provider Profile Details
NPI Number
1508647983
Provider Name
New Moon Mental Health Llc
Credential
Provider Entity Type
Organization
Address
1970 E 17Th St Ste 111B, Idaho Falls, ID, 83404-8046
Phone Number
208-541-5257
Fax Number
208-742-2695
Provider Enumeration Date
10/11/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1970 E 17Th St Ste 111B
City
State
Zip
83404-8046
Phone Number
208-541-5257
Fax Number
208-742-2695
person
Provider Business Mailing Address Details
Address
1970 E 17Th St Ste 111B
City
State
Zip
83404-8046
Phone Number
208-541-5257
Fax Number
208-742-2695
person
Provider's Taxonomy Details 1
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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