NPI 1518006113

Portneuf River Center

Organisation Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Pocatello, ID

Practice location

Address: 427 N Arthur Ave STE B, Pocatello, ID 83204-3006
Phone: (208) 233-2998
Fax: (208) 232-0881

Authorised official

Name: Kathleen Werner-Leap
Title: Director
Phone: (208) 233-2998

Registered specialties

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0807X

Other Clinical Nurse Specialist providers in Idaho →

Registry record

NPI: 1518006113
Entity type: Organization
NPI issued: 6 Feb 2007
Record last updated: 18 Jul 2008

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.