Individual provider · Type 1 NPI
Rebekah G. Fayette, CNM, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Boise, ID
NPI number
1043690175
Active
Practice location
4477 W Emerald St Ste C200
Boise, ID 83706-2074
Fax (855) 490-9559
Mailing address
10280 W Ustick Rd
Boise, ID 83704-5270
Other practice locations
- 1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Advanced Practice Midwife | 367A00000X | 54388 (ID) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 54388 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1043690175
Rebekah G. Fayette, CNM, PMHNP's National Provider Identifier is 1043690175, issued on Jun 3, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boise, ID. The record was last updated on Aug 11, 2025.