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Organization
NUGEN PSYCHIATRY PC
Active
Organization
NUGEN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LEONARD NP (CEO)
(562) 665-6654
Entity
Organization
Contact information
Practice address
8555 W HACKAMORE DR STE 250, BOISE, ID 83709-1605
(562) 665-6654
Mailing address
8555 W HACKAMORE DR STE 250, BOISE, ID 83709-1605
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
01/28/2026
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