Organization
NEXGEN MENTAL HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J CHRISTENSEN NP (MANAGING MEMBER)
(208) 922-7055
Entity
Organization
Contact information
Practice address
3152 S BOWN WAY STE 101, BOISE, ID 83706-5456
(208) 922-7055
(208) 576-6930
Mailing address
3152 S BOWN WAY STE 101, BOISE, ID 83706-5456
(208) 922-7055
(208) 576-6930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP-922A
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-922A
ID
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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