Goodspeed, Mary

Goodspeed, Mary is an individual health care provider with primary practice located at 300 S 23Rd St , Boise ID 83702-9100. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Goodspeed, Mary can be contacted via phone (208) 344-3512.

Contact Information

Primary practice address
300 S 23Rd St Boise ID 83702-9100
Phone: (208) 344-3512
Fax: (208) 466-5359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 72002 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 72002 Idaho

Profile Details

NPI number 1053069047
LBN Legal business name Goodspeed, Mary
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2022
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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