IndividualActive
Georgetta Okumagba, PMHNP
NPI 1801775507 · Psychiatry Physician · Boise, ID
Provider details
- NPI number
- 1801775507
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 5771468 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9492 W Fairview Ave
Boise, ID 83704-8101
Phone: (208) 284-7100
Approximate (ZIP-level) locationGet directions
Mailing address
9492 W Fairview Ave
Boise, ID 83704-8101
Registry dates
- Enumerated
- 2025-08-28
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.