Michael Pahang
Nurse Practitioner - Psychiatric/Mental Health
1550 N Crestmont Dr
Meridian
, Idaho 83642-2184
Michael Pahang
Nurse Practitioner - Psychiatric/Mental Health
1550 N Crestmont Dr
Meridian
, Idaho 83642-2184
(208) 288-4279
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Michael Pahang
- 1550 N Crestmont Dr
- Meridian, ID
- Zip : 83642-2184
- Fax : (208) 288-4279
- Phone : (208) 288-4200
Second Address
- Michael Pahang
- 1550 N Crestmont Dr
- Meridian, ID
- Zip : 83642-2184
- Fax : (208) 288-4279
- Phone : (208) 288-4200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 54932 | ID |
National Provider Identifier
| NPI | 1033592605 |
|---|---|
| Provider Name | Michael Pahang |
| First Address | Meridian, ID 83642-2184 |
| Second Address | Meridian, ID 83642-2184 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2015 |
| Last Update Date | 18/01/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.