Organization
SLOAN PSYCHIATRIC CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANN MACK ARNP (OWNER)
(208) 944-1537
Entity
Organization
Contact information
Practice address
1006 VANDERDASSON RD, EMMETT, ID 83617-8880
(509) 731-5662
Mailing address
1006 VANDERDASSON RD, EMMETT, ID 83617-8880
(208) 944-1537
(208) 944-6067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
10/13/2023
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