| NPI | 1801376066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J CHRISTENSEN Managing Member 208-922-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP-922A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-922A) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |