Organization · Type 2 NPI
A2c Corporation
Psychiatric/Mental Health Nurse Practitioner · Pocatello, ID
NPI number
1104419423
Active
Practice location
333 W Cedar St Ste 3
Pocatello, ID 83201-5045
Fax (208) 648-4167
Other practice locations
- 160 Valley River Dr Ste 4, Rexburg, ID 83440-5313 · (208) 252-5621
- 5440 W Franklin Rd Ste 108, Boise, ID 83705-6433 · (208) 283-7314
- 347 W Gordon Ave Ste 1, Layton, UT 84041-2389 · (801) 896-5345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Pocatello
About NPI 1104419423
A2c Corporation's National Provider Identifier is 1104419423, issued on Feb 17, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pocatello, ID. The record was last updated on Feb 17, 2021.