Individual
SARA JOANNE MITCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2286 POEN RD, KUNA, ID 83634-1783
(208) 830-2518
Mailing address
2286 POEN RD, KUNA, ID 83634-1783
(208) 830-2518
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74437
ID
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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