Individual provider · Type 1 NPI
Benjamin Garfield Rae Iv
Psychiatric/Mental Health Nurse Practitioner · Idaho Falls, ID
NPI number
1770051229
Active
Practice location
530 S Holmes Ave
Idaho Falls, ID 83401-5056
Mailing address
PO Box 955
Wilson, WY 83014-0955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP60879306 (WA) |
| Nurse Practitioner | 363L00000X | AP60879306 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP608793306 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
5 other providers at this address
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- Cathleen Marie Smith, LMTMassage Therapist Idaho Falls, ID NPI 1366045817
- Jeanette Moss Slater, FNP-CFamily Medicine Physician Idaho Falls, ID NPI 1265293021
- Shayna Jo MickelsenFamily Nurse Practitioner Idaho Falls, ID NPI 1639024888
Other psychiatric/mental health nurse practitioner providers in Idaho Falls
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- Robert Greenig, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Idaho Falls, ID NPI 1215567714
- Andrina Kalita, PMHNPPsychiatric/Mental Health Nurse Practitioner Idaho Falls, ID NPI 1235023664
- Brian Brimhall, PMHNPPsychiatric/Mental Health Nurse Practitioner Idaho Falls, ID NPI 1245796101
- Patrick Ross King, PMHNPPsychiatric/Mental Health Nurse Practitioner Idaho Falls, ID NPI 1255264164
- Joshua L. Pixton, DNP-PMHNPPsychiatric/Mental Health Nurse Practitioner Idaho Falls, ID NPI 1265105977
- Victoria S. HoldemanPsychiatric/Mental Health Nurse Practitioner Idaho Falls, ID NPI 1376121848
- Matthew Aaron Douglass, PMHNPPsychiatric/Mental Health Nurse Practitioner Idaho Falls, ID NPI 1396509311
About NPI 1770051229
Benjamin Garfield Rae Iv's National Provider Identifier is 1770051229, issued on Nov 2, 2018. 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 May 2, 2025.