Individual
KATIUSKA A VESTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3700 W SELTICE WAY, COEUR D ALENE, ID 83814-8921
(208) 215-2111
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
55830
ID
Other
Enumeration date
02/23/2024
Last updated
11/11/2025
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