IndividualActive
Cody Haas, PMHNP-BC
NPI 1902462039 · Psychiatric/Mental Health Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1902462039
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 202201741NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1047 S Wells St Ste 106
Meridian, ID 83642-7997
Phone: (208) 297-3428
Fax: (208) 297-3978
Approximate (ZIP-level) locationGet directions
Mailing address
1047 S Wells St
Meridian, ID 83642-7997
Additional practice locations (1)
- 3425 13th StBaker City, OR 97814-1340Phone: (541) 523-7400
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.