IndividualActive
Amber Van Sickle-Birch, PMHNP
NPI 1831716604 · Psychiatric/Mental Health Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1831716604
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 43554 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1500 Pancheri Dr Ste 4
Idaho Falls, ID 83402-3212
Phone: (208) 579-6087
Fax: (888) 519-8898
Approximate (ZIP-level) locationGet directions
Mailing address
1500 Pancheri Dr Ste 4
Idaho Falls, ID 83402-3212
Registry dates
- Enumerated
- 2020-06-28
- Last updated
- 2022-09-06
- Certified
- 2022-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.