Individual
MR. JONATHAN V HENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
958 S LOCHSA ST STE 225, POST FALLS, ID 83854-8357
(208) 640-2564
(208) 908-6338
Mailing address
958 S LOCHSA ST STE 225, POST FALLS, ID 83854-8357
(208) 640-2564
(208) 908-6338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
69581
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
69581
ID
Other
Enumeration date
06/26/2021
Last updated
03/03/2026
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