Organization · Type 2 NPI
Eagles Nest Holistic Mental Health Inc
Psychiatric/Mental Health Nurse Practitioner · Lawrence, KS
NPI number
1962650705
Active
Practice location
719 1/2 Mass. Suite 100
Lawrence, KS 66044
Fax (913) 530-2802
Mailing address
32800 W 91st Terrace
Desoto, KS 66018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 14-58010-092 (KS) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 14-58010-092RN (KS) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 74085APNR (KS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1962650705
Eagles Nest Holistic Mental Health Inc's National Provider Identifier is 1962650705, issued on Sep 5, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lawrence, KS. The record was last updated on Apr 3, 2018.