Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Garnet State Enterprises LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1184433005

Garnet State Enterprises LLC is a Psychiatric/Mental Health Nurse Practitioner in Hayden, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2481 Halleberry
Hayden, ID 83835-8339
Phone: (208) 518-9927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1184433005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Gourley — Psychiatric Nurse Practitioner · (208) 518-9927
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address2481 Halleberry, Hayden, ID 83835-8339

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