OrganizationActive
A2c Corporation
NPI 1104419423 · Psychiatric/Mental Health Nurse Practitioner · Pocatello, ID
Provider details
- NPI number
- 1104419423
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stacy Humpherys, Practice Manager(208) 252-5621
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
333 W Cedar St Ste 3
Pocatello, ID 83201-5045
Phone: (208) 252-5621
Fax: (208) 648-4167
Approximate (ZIP-level) locationGet directions
Mailing address
333 W Cedar St Ste 3
Pocatello, ID 83201-5045
Additional practice locations (3)
- 5440 W Franklin Rd Ste 108Boise, ID 83705-6433Phone: (208) 283-7314Fax: (208) 550-3204
- 160 Valley River Dr Ste 4Rexburg, ID 83440-5313Phone: (208) 252-5621Fax: (208) 648-4167
- 347 W Gordon Ave Ste 1Layton, UT 84041-2389Phone: (801) 896-5345Fax: (801) 896-5334
Registry dates
- Enumerated
- 2021-02-17
- Last updated
- 2021-02-17
- Certified
- 2021-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.