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Adrian Avila, RN,NP
Psychiatric/Mental Health Nurse Practitioner in Caldwell, Idaho
NPI 1619545936

Adrian Avila is a Psychiatric/Mental Health Nurse Practitioner based in Caldwell, ID and is specialized in Psychiatric/Mental Health. Adrian Avila practices in Caldwell, ID and has the professional credentials of RN,NP. The NPI Number for Adrian Avila is 1619545936 and holds a License No. 53602 (Idaho).

The current practice location address for Adrian Avila is 314 Badiola St, Caldwell, ID and can be reached out via phone at 541-539-1124.

Location: 314 Badiola St, Caldwell, ID, 83605-4389
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619545936
Provider Name
Adrian Avila
Credential
RN,NP
Provider Entity Type
Individual
Gender
Male
Address
314 Badiola St, Caldwell, ID, 83605-4389
Phone Number
541-539-1124
Fax Number
Provider Enumeration Date
06/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
53602 01 ID IDAHO BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
314 Badiola St
City
Caldwell
State
Idaho
Zip
83605-4389
Phone Number
541-539-1124
Fax Number
person
Provider Business Mailing Address Details
Address
314 Badiola St
City
Caldwell
State
Idaho
Zip
83605-4389
Phone Number
541-539-1124
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
53602 (Idaho)
Definition
Definition to come...
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