Momma LLC
Momma LLC is a Psychiatric/Mental Health Nurse Practitioner in Nampa, Idaho. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
116 18th Ave SNampa, ID 83651-4841
Phone: (208) 807-2867
Fax: (208) 639-2736
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1376286732 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kellie Northam — Primary Operator · (712) 828-0234 |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | April 14, 2022 |
| Certification date | April 14, 2022 |
| Mailing address | 116 18th Ave S, Nampa, ID 83651-4841 |
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Mindful Moments Psychiatry, LLC
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Kellie Ann Northam, PMHNP-BC, CNM
116 18th Ave S, Nampa, ID 83651-4841 · (208) 639-2700
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Emily Northam-Mobley, APRN, PMHNP-BC
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MS. Carolyn Ann Nugent, NURSEPRACTIONER
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Duke M Nyarecha, PMHNP
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