Organization · Type 2 NPI

Glass Half Full

Psychiatric/Mental Health Nurse Practitioner · Boise, ID

NPI number 1467342121 Active

Practice location

1199 W Shoreline Ln Ste 280
Boise, ID 83702-9102

Call (208) 593-3263 Map

Fax (208) 957-7437

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1467342121

Glass Half Full's National Provider Identifier is 1467342121, issued on Jul 5, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boise, ID. The record was last updated on Jul 5, 2025.