NPI 1033592605

Michael Pahang, PMHNP

Practitioner Psychiatric/Mental Health Nurse Practitioner Meridian, ID

Practice location

Address: 1550 N Crestmont Dr, Meridian, ID 83642-2184
Phone: (208) 288-4200
Fax: (208) 288-4279

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 54932 (ID)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1033592605
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2015
Record last updated: 18 Jan 2017

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.