Individual provider · Type 1 NPI
Amber Jane Van Sickle-Birch, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Idaho Falls, ID
NPI number
1831716604
Active
Practice location
1500 Pancheri Dr Ste 4
Idaho Falls, ID 83402-3212
Fax (888) 519-8898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 43554 (ID) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 70572 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1831716604
Amber Jane Van Sickle-Birch, PMHNP's National Provider Identifier is 1831716604, issued on Jun 28, 2020. 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 Sep 6, 2022.