Organization
MOUNTAIN VIEW HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE FUNKE ARNP (OWNER/ARNP)
(208) 816-8746
Entity
Organization
Contact information
Practice address
609 BRYDEN AVE STE B, LEWISTON, ID 83501-5193
(208) 816-8746
Mailing address
609 BRYDEN AVE STE B, LEWISTON, ID 83501-5193
(208) 816-8746
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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