IndividualActive
Colton Phelps, MSN, PMHNP-BC
NPI 1316767205 · Psychiatric/Mental Health Nurse Practitioner · Ammon, ID
Provider details
- NPI number
- 1316767205
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 58777 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1675 Curlew Dr
Ammon, ID 83406-4718
Phone: (208) 523-5319
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2106
Idaho Falls, ID 83403-2106
Registry dates
- Enumerated
- 2024-10-15
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.