Organization · Type 2 NPI
Cda Wellness
Psychiatric/Mental Health Nurse Practitioner · Rathdrum, ID
NPI number
1649130980
Active
Practice location
6299 W Alliance St
Rathdrum, ID 83858-0139
Fax (208) 900-1075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1649130980
Cda Wellness's National Provider Identifier is 1649130980, issued on Nov 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rathdrum, ID. The record was last updated on May 19, 2026.