Matthew Aaron Douglass, PMHNP

NPI #1396509311 in Rexburg, Idaho

Provider Information

NPI Number
1396509311
Entity Type
Individual
Name
Matthew Aaron Douglass, PMHNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
PMHNP
Enumeration Date
Feb 9, 2024
Last Updated
May 15, 2025

Practice Location

Address
393 E 2ND N
State
Idaho
ZIP Code
83440-1605
Phone
(208) 359-4840

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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