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Organization

DENEVE MENTAL HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE LORAINE BARNES FNP-C, PMHNP-C (NURSE PRACTITIONER)
(208) 716-6445
Entity
Organization

Contact information

Practice address
1970 E 17TH ST STE 111B, IDAHO FALLS, ID 83404-8046
(208) 541-5257
Mailing address
4710 CUMBERLAND DR, IDAHO FALLS, ID 83404-8414
(208) 541-5257

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
12/27/2022
Last updated
01/13/2023
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