Search › Idaho › 163WG0000X
Mchale Chriswell
NPI 1669195061 · on the registry since 2022 · sole proprietor
Practice
- Address
- 415 North 3rd Ave, Ste B
Pocatello, ID 83201 - Organisation at this address
- Robert L. Fackrell Dds Pa
Nobility Behavioral Health LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 415 N 3rd Ave Ste B, Pocatello, ID
- 415 N 3rd Ave Ste B, Pocatello, ID
- 415 N 3rd Ave Ste B, Pocatello, ID
- 415 N 3rd Ave Ste B, Pocatello, ID
- 415 N 3rd Ave Ste B, Pocatello, ID
- 415 N 3rd Ave Ste B, Pocatello, ID
- 415 N 3rd Ave Ste B, Pocatello, ID
Registry record
- Primary taxonomy
- 163WG0000X
163WG0000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-21
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