Yellow Daisy, Pllc

NPI #1902491467 in Rexburg, Idaho

Provider Information

NPI Number: 1902491467
Entity Type: Organization
Organization Name: Yellow Daisy, Pllc
Primary Specialty: Psychiatry & Neurology - Psychiatry
Enumeration Date: Mar 6, 2021
Last Updated: Feb 6, 2026

Practice Location

Address: 343 E 4TH N STE 233
City: Rexburg
State: Idaho
ZIP Code: 83440-6009
Phone: (208) 715-6709

Authorized Official

Name: ANNA BLONQUIST, BCNP-PMHNP
Title: MANAGER
Phone: (208) 715-6709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X	Primary

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