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Search › Idaho › Psychiatric/Mental Health Nurse Practitioner

Benjamin Rae

NPI 1770051229 · on the registry since 2018

Practice

Address
530 S Holmes Ave
Idaho Falls, ID 83401
Phone
(208) 924-4360
Organisation at this address
Eye Clinic Of Idaho Falls,Pa
Open Space Mental Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
363LG0600X
363L00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-02

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