Organization
SNAKE RIVER PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN HAGGERTY PMHNP-BC (SOLE MEMBER)
(208) 906-4073
Entity
Organization
Contact information
Practice address
13972 TRAPPER LN, CALDWELL, ID 83607-5481
(208) 906-4073
Mailing address
13972 TRAPPER LN, CALDWELL, ID 83607-5481
(208) 906-4073
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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