Individual provider · Type 1 NPI

Mary Goodspeed, PMHNP

Nurse Practitioner · Boise, ID

NPI number 1053069047 Active

Practice location

300 S 23rd St
Boise, ID 83702-9100

Call (208) 344-3512 Map

Fax (208) 466-5359

Mailing address

PO Box 9
Nampa, ID 83653-0009

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X72002 (ID)
Nurse Practitioner Primary 363L00000X72002 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

35 other providers at this address

Other nurse practitioner providers in Boise

See all in Boise →

About NPI 1053069047

Mary Goodspeed, PMHNP's National Provider Identifier is 1053069047, issued on Mar 17, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Nov 27, 2023.