Individual
SPRING NEIHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 S 8TH AVE, POCATELLO, ID 83201-5377
(208) 282-2864
Mailing address
118 N 35 W, BLACKFOOT, ID 83221-5996
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
33310
ID
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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