Organization · Type 2 NPI
Main Street Mental Health PLLC
Psychiatric/Mental Health Nurse Practitioner · Garden Grove, IA
NPI number
1407547441
Active
Practice location
307 E Main St
Garden Grove, IA 50103-1025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1407547441
Main Street Mental Health PLLC's National Provider Identifier is 1407547441, issued on May 19, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Garden Grove, IA. The record was last updated on May 19, 2023.