Individual provider · Type 1 NPI
Marcela Azevedo, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Eagle, ID
NPI number
1639004583
Active
Practice location
45 Cottonwood Ct
Eagle, ID 83616-6577
Mailing address
45 Cottonwood Ct Ste 140
Eagle, ID 83616-6577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9681016 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Eagle
About NPI 1639004583
Marcela Azevedo, PMHNP-BC's National Provider Identifier is 1639004583, issued on Jun 15, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Eagle, ID. The record was last updated on Jun 15, 2026.