A2C CORPORATION
Organization (NPI-2)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1104419423- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 333 W CEDAR ST STE 3, POCATELLO, ID, 832015045
- Phone
- (208) 252-5621
- Fax
- (208) 648-4167
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary