SearchIdahoPsychiatric/Mental Health Nurse Practitioner

Cody Matson

NPI 1568974822 · on the registry since 2017

Practice

Address
2199 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone
(208) 625-4888
Fax
(208) 625-5734
Organisation at this address
North Idaho Mental Health Assoc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
Nurse Practitioner
Psychiatric/Mental Health Nurse Practitioner
Psychiatry Physician
Licence states on file
ID, IA, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho