IndividualActive
Adam Thetford, APRN, PMHNP
NPI 1316884091 · Psychiatric/Mental Health Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1316884091
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, PMHNP
- Sex
- Male
- Sole proprietor
- No
- License
- 5981802 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 529-6111
Approximate (ZIP-level) locationGet directions
Mailing address
3100 Channing Way
Idaho Falls, ID 83404-7533
Registry dates
- Enumerated
- 2026-05-01
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.