NPI 1003497975
Northern Star Healing, PLLC
Practice location
- Address
- 1530 Fairway Street, Mountain Home, ID 83647
- Phone
- (208) 794-0048
- Fax
- (855) 471-0759
Authorised official
- Name
- Daniel Eli Novak
- Title
- Owner
- Phone
- (208) 794-0048
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1003497975
- Entity type
- Organization
- NPI issued
- 21 Apr 2021
- Record last updated
- 21 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.