A2C Corporation
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Pocatello, ID
NPI 1104419423 · NPPES record last updated Feb 17, 2021
Key facts
- NPI
- 1104419423
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- A2C CORPORATION
- Practice address
- 333 W Cedar St Ste 3
Pocatello, ID 83201-5045 - Phone
- (208) 252-5621
- Fax
- (208) 648-4167
- NPI assigned
- Feb 17, 2021
- Organization subpart
- No
Authorized official
- Name
- Stacy Humpherys
- Title
- Practice Manager
- Phone
- (208) 252-5621
National Provider Directory
Locations
333 W Cedar St
Ste 3
Pocatello, ID 83201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
333 W Cedar St Ste 3
Pocatello, ID 83201-5045
Mailing address
333 W Cedar St Ste 3
Pocatello, ID 83201-5045
Phone (208) 252-5621
Other practice location 1
160 Valley River Dr Ste 4
Rexburg, ID 83440-5313
Phone (208) 252-5621
Other practice location 2
347 W Gordon Ave Ste 1
Layton, UT 84041-2389
Phone (801) 896-5345
Other practice location 3
5440 W Franklin Rd Ste 108
Boise, ID 83705-6433
Phone (208) 283-7314
Other providers in Pocatello, ID
- A New Way Inc.
- A to Z Family Services Inc.
- A to Z Family Services Inc.
- A to Z Family Services, Inc.
- A to Z Family Services, Inc.
- Aaron J Altenburg MD PC
- Gabrielle Abernathy
- Abiding Self Inc
- Lee Ann Roberts Abraszewski
- Nina Kellie Lateefee Abul-Husn
All providers in Pocatello, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.