Organization
DUMU PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUKE NYARECHA NP (OWNER)
(208) 376-2485
Entity
Organization
Contact information
Practice address
9428 W FAIRVIEW AVE, BOISE, ID 83704-8101
(208) 376-2485
(208) 376-2908
Mailing address
9492 W FAIRVIEW AVE, BOISE, ID 83704-8101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235625914
NPI
ID
Enumeration date
06/29/2020
Last updated
05/05/2025
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