Carolyn Ann Nugent, nurse practioner
Nurse Practitioner, Psych/Mental Health in Nampa, ID. Individual provider (NPI-1).
NPI number1619707593
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1619707593
- Entity type
- Individual (NPI-1)
- Name
- Ms. Carolyn Ann Nugent
- Credential
- nurse practioner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2024
- Certification date
- Aug 5, 2024
- Last updated
- Aug 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 7161372 | ID | Yes |
Other names
- Carolyn Ann Madsen (Former Name)
Practice location
16520 Mulberry LnNampa, ID 83687-8492
Phone 360-888-0449
Mailing address
16520 Mulberry LnNampa, ID 83687-8492
Phone 360-888-0449
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