Organization · Type 2 NPI
Wellspring Behavioral Health, Inc
Psychiatric/Mental Health Nurse Practitioner · Eagle, ID
NPI number
1124642293
Active
Practice location
1159 E Iron Eagle Dr Ste 100
Eagle, ID 83616-6868
Fax (208) 938-2897
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Eagle
About NPI 1124642293
Wellspring Behavioral Health, Inc's National Provider Identifier is 1124642293, issued on Jun 3, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Eagle, ID. The record was last updated on Jun 3, 2020.