GARNET STATE ENTERPRISES LLC is a psychiatric/mental health nurse practitioner in Hayden, ID. GARNET STATE ENTERPRISES LLC NPI is 1184433005. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2481 HALLEBERRY HAYDEN, ID ZIP 83835-339 Phone: (208) 518-9927
The provider's authorized official is Peter Gordon Gourley . The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (208) 518-9927.
The enumeration date for this NPI number is 1/6/2025 and was last updated on 1/6/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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