Sara Joanne Mitchem, PMHNP | |
2286 Poen Rd, Kuna, ID 83634-1783 | |
(208) 830-2518 | |
Not Available |
Full Name | Sara Joanne Mitchem |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2286 Poen Rd, Kuna, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245947720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 74437 (Idaho) | Primary |
Entity Name | Human Supports Of Idaho |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922340124 PECOS PAC ID: 0244485894 Enrollment ID: O20130305000118 |
Entity Name | Integrity Psychiatric Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922582501 PECOS PAC ID: 4082968599 Enrollment ID: O20181120002521 |
Mailing Address | Practice Location Address |
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Sara Joanne Mitchem, PMHNP 2286 Poen Rd, Kuna, ID 83634-1783 Ph: (208) 830-2518 | Sara Joanne Mitchem, PMHNP 2286 Poen Rd, Kuna, ID 83634-1783 Ph: (208) 830-2518 |
Selah Worley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13500 Pleasant Vly Rd, Kuna, ID 83634 Phone: 208-336-0740 | |
Anthony Bruce Reece, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14601 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-331-2760 | |
Mr. Jared Tripper Povar, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13400 S Pleasant Valley Rd, Isci Medical, Kuna, ID 83634 Phone: 208-336-0740 | |
Sean Haggerty, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1318 W Castro Dr, Kuna, ID 83634 Phone: 307-220-4071 | |
Mr. Rex O Underwood Ii, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13900 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-333-0037 | |
Mr. William Lincoln Poulson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13500 South Pleasant Valley Road, Kuna, ID 83634 Phone: 208-371-7468 |