Organization · Type 2 NPI
New Moon Mental Health LLC
Psychiatric/Mental Health Nurse Practitioner · Idaho Falls, ID
NPI number
1508647983
Active
Practice location
1970 E 17th St Ste 111B
Idaho Falls, ID 83404-8046
Fax (208) 742-2695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Idaho Falls
About NPI 1508647983
New Moon Mental Health LLC's National Provider Identifier is 1508647983, issued on Oct 11, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 11, 2023.