Momma Llc

LBN: Momma Llc
Momma Llc is an health care organization with primary practice located at 116 18Th Ave S , Nampa ID 83651-4841. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Momma Llc can be contacted via phone (208) 807-2867, or through Northam, Kellie via phone (712) 828-0234.

Contact Information

Primary practice address
116 18Th Ave S Nampa ID 83651-4841
Phone: (208) 807-2867
Fax: (208) 639-2736
Website:
Map and Directions
Authorized official contact:
Name: Northam, Kellie PMHNP,BC
Phone: (712) 828-0234

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1376286732
LBN Legal business name Momma Llc
DBA Doing business as
Authorized official Northam, Kellie PMHNP,BC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2022
Last updated Apr 14th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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