Organization · Type 2 NPI
Garnet State Enterprises LLC
Psychiatric/Mental Health Nurse Practitioner · Hayden, ID
NPI number
1184433005
Active
Practice location
2481 Halleberry
Hayden, ID 83835-8339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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 Hayden
About NPI 1184433005
Garnet State Enterprises LLC's National Provider Identifier is 1184433005, issued on Jan 6, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hayden, ID. The record was last updated on Jan 6, 2025.