Individual provider · Type 1 NPI
Colton Jeffery Phelps, MSN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Ammon, ID
NPI number
1316767205
Active
Practice location
1675 Curlew Dr
Ammon, ID 83406-4718
Mailing address
PO Box 2106
Idaho Falls, ID 83403-2106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 58777 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1316767205
Colton Jeffery Phelps, MSN, PMHNP-BC's National Provider Identifier is 1316767205, issued on Oct 15, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ammon, ID. The record was last updated on Oct 15, 2024.