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

Marcela Azevedo, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1639004583

Marcela Azevedo, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

45 Cottonwood Ct
Eagle, ID 83616-6577
Phone: (208) 648-4100
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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 9681016 (ID)

Record details

NPI number1639004583
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 10, 2026

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