Blake Mcdonald, PMHNP

NPI #1396379475 in Caldwell, Idaho

Provider Information

NPI Number
1396379475
Entity Type
Individual
Name
Blake Mcdonald, PMHNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
PMHNP
Enumeration Date
Feb 27, 2020
Last Updated
Apr 21, 2020

Practice Location

Address
1906 FAIRVIEW AVE STE 220
State
Idaho
ZIP Code
83605-5432
Phone
(208) 795-5072

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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