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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY GOODSPEED, PMHNP

Active

MARY GOODSPEED, PMHNP is a Nurse Practitioner healthcare provider located in BOISE, Idaho. NPI 1053069047 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BOISE, ID

Registration Details

NPI Number
1053069047
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2022 (4.3707236902393 yrs)
Last Updated
Nov 27, 2023
Licenses
72002 (ID)
72002 (ID)

Practice Information

Address
300 S 23RD ST
BOISE, ID, 837029100
Browse ID providers · Browse ZIP 83702
Phone
2083443512
Fax
2084665359
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in BOISE, ID

Name Credential NPI
MR. CHRISTOPHER JAY SJOBERG NP 1235122284
MR. CORY J HUFFINE N.P. 1700879459
MRS. RENEE MICHELLE KINDLER FNP 1588653828
MRS. BECKY M. ELDER NP 1417938473
SUSAN MCMULLEN NP 1932160447
MRS. JENNIFER ANN HACKWITH NP 1285683581
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.