| Dr. Paula M. Nordstrom, Llc | |
|
3904 E Flamingo Avenue 200 Nampa ID 83687-3102 | |
| (208) 089-1888 | |
| (208) 839-2301 |
| Full Name | Dr. Paula M. Nordstrom, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3904 E Flamingo Avenue, Nampa, Idaho |
| Authorized Official Name and Position | Paula Michelle Nordstrom (OWNER) |
| Authorized Official Contact | 2089891686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Paula M. Nordstrom, Llc 3904 E Flamingo Avenue 200 Nampa ID 83687-3102 Ph: (208) 089-1888 | Dr. Paula M. Nordstrom, Llc 3904 E Flamingo Avenue 200 Nampa ID 83687-3102 Ph: (208) 089-1888 |
| NPI Number | 1063783728 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063783728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-303 (Idaho) | Primary |
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