Fortitude Psychiatry | |
1218 N Division Ave Ste 211 Sandpoint ID 83864-5054 | |
(208) 659-9382 | |
Not Available |
Full Name | Fortitude Psychiatry |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1218 N Division Ave Ste 211, Sandpoint, Idaho |
Authorized Official Name and Position | Karey Nebo Kananda (ARNP) |
Authorized Official Contact | 2086599382 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fortitude Psychiatry Po Box 23 Otis Orchards WA 99027-0023 Ph: () - | Fortitude Psychiatry 1218 N Division Ave Ste 211 Sandpoint ID 83864-5054 Ph: (208) 659-9382 |
NPI Number | 1225814585 |
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Provider Enumeration Date | 09/04/2023 |
Last Update Date | 10/02/2023 |
Certification Date | 10/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225814585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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