OrganizationActive
Cda Wellness
NPI 1649130980 · Psychiatric/Mental Health Nurse Practitioner · Rathdrum, ID
Provider details
- NPI number
- 1649130980
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Katiuska Vestman, Owner(208) 518-8111
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6299 W Alliance St
Rathdrum, ID 83858-0139
Phone: (208) 518-8111
Fax: (208) 900-1075
Approximate (ZIP-level) locationGet directions
Mailing address
6299 W Alliance St
Rathdrum, ID 83858-0139
Registry dates
- Enumerated
- 2025-11-17
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.