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Organization
LB MEDICAL CONSULTANTS
Active
Organization
LB MEDICAL CONSULTANTS
Active
Other names
H3O Wellness Interventional Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DAWN BARTLETT DNP (OWNER)
(208) 207-9422
Entity
Organization
Contact information
Practice address
32 S 150 E, BURLEY, ID 83318-5450
(208) 207-9422
(208) 269-5828
Mailing address
PO BOX 43, TWIN FALLS, ID 83303-0043
(208) 738-3446
(208) 269-5828
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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