National Provider Identifier Database

STEPHANIE M CARPENTER, PMHNP-C – NPI #1629329537
Psychiatric/Mental Health

Contact Information

STEPHANIE M CARPENTER, PMHNP-C
2315 8TH ST
LEWISTON, ID  83501-7303
Phone: 208-746-1383
Fax: 208-746-6348
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health 363LP0808X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for STEPHANIE M CARPENTER

NPI Number 1629329537
Credentials PMHNP-C
Entity Individual
Enumeration date 10/02/2012
Last updated 05/18/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • ID License #: NP-1229A
  • WA License #: AP60511737
  • ID Medicaid: 1629329537
  • WA Medicaid: 1629329537
  • Other: 1629329537 FCHN
  • ID Other: 1629329537 AETNA
  • ID Other: 1629329537 BLUE CROSS OF ID
  • ID Other: 1629329537 IPN
  • ID Other: 1629329537 REGENCE BLUE SHIELD OF ID
  • ID Other: 1629329537 UNITED HEALTHCARE
  • WA Other: 1629329537 MOLINA HEALTHCARE OF WA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for STEPHANIE M CARPENTER, PMHNP-C

There are currently no reviews for STEPHANIE M CARPENTER, PMHNP-C

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