Organization · Type 2 NPI

Transformed Mind and Body LLC

Psychiatric/Mental Health Nurse Practitioner · Nampa, ID

NPI number 1063230449 Active

Practice location

824 17th Ave S Ste 15
Nampa, ID 83651-4780

Call (407) 865-0101 Map

Mailing address

8040 S Red Cliff Ave
Boise, ID 83716-3466

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1063230449

Transformed Mind and Body LLC's National Provider Identifier is 1063230449, issued on Oct 2, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Nampa, ID. The record was last updated on Oct 2, 2024.