Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JOHANNA CHRISTINE MATTHEWS, PMHNP-BC
ActiveChild & Adolescent Psychiatric Nurse · HAYDEN, ID
Registration Details
- NPI Number
- 1851058549
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2021 (4.4604805334022 yrs)
- Last Updated
- Aug 5, 2024
- Licenses
-
AP61375125 (WA)70647 (ID)
Practice Information
- Address
-
827 W PRAIRIE AVEHAYDEN, ID, 838358459Browse ID providers · Browse ZIP 83835
- Phone
- 2087197158
- Fax
- 2085002508
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
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.