Dr. Renee Gault, DNP, PMHNP-BC
Dr. Renee Gault, DNP, PMHNP-BC is a Nurse Practitioner in Pocatello, Idaho. Qualified in 2018, 8 years ago. Licensed in Idaho.
- Years since qualifying
- 8
- Licensed in
- ID
- In the registry since
- 2018
What do these letters mean?
Practice location Address checks out
444 Hospital Way Ste 477Pocatello, ID 83201-2744
Phone: (208) 233-7832
Fax: (208) 233-7835
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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 · Licence 59582 (ID) |
|---|
Record details
| NPI number | 1912489980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DNP , PMHNP-BC |
| Sole proprietor | No |
| NPI enumerated | September 5, 2018 |
| Last updated in NPPES | November 21, 2018 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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Paul Cody Jameson, PMHNP-BC
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Rebecca L Klingler, PMHNP
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Lisa M Miller
1950 E Clark St Ste 10, Pocatello, ID 83201-3314 · (208) 741-6159