Judy A Metelko in Lewiston - Psychiatric/mental Health, Adult

Judy A Metelko - NPI 1932247665

Judy A Metelko is a Psychiatric/mental Health, Adult in Lewiston, Idaho. Judy A Metelko practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Judy A Metelko is 1932247665. The last update date is 2007-07-09.

Judy A Metelko's current location address is 415 6th St, Lewiston, Idaho. You can contact this provider via phone number 2087432511 and fax number 2087995554. The mailing address for Judy A Metelko is 415 6th St, Lewiston, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Judy A Metelko
Address 415 6th St, Lewiston, Idaho
Phone Number 2087432511
Fax Number 2087995554
Sole Proprietor N
Credentials CNS,ARNP

NPI Number Detail

NPI Number 1932247665
Provider Enumeration Date 2007-02-02
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 415 6th St
City Lewiston
State Idaho (ID)
Post Code 835012431
Phone Number 2087432511
Fax Number 2087995554

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 364Sp0809X
Licence No CNS-1A
Definition:
A psychiatric clinical nurse specialist expert in caring for adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9627472 WA --
HBUR5 ID IDAHO BLUE CROSS IND
805366200 ID --
8C576 ID BLUE CROSS OF IDAHO
10017766 ID REGENCE OF IDAHO

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FAQs about Judy A Metelko

What is the Judy A Metelko's unique identification number?

The Judy A Metelko has been assigned the NPI (National Provider Identifier) Number 1932247665 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Judy A Metelko is physically located?

The Judy A Metelko is physically situated at the following address: 415 6Th St, Lewiston, ID, 835012431.

What is the area of specialization for Judy A Metelko, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Judy A Metelko is Psychiatric/mental Health, Adult, and the corresponding taxonomy code that categorizes this area of expertise is 364Sp0809X.

When did Judy A Metelko receive its 1932247665 assignment?

The Judy A Metelko was assigned its 1932247665 on 2007-02-02, which is the date when this unique identifier was issued to the organization.

When was the Judy A Metelko's information last updated?

The Judy A Metelko's information was last updated on 2007-07-09.

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