KELLIE NORTHAM, PMHNP-BC, CNM

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1053650010

Practice Address

116 18TH AVE S
Nampa, ID 83651

Phone: (208) 639-2700

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 61450 (ID)
Advanced Practice Midwife 367A00000X No CNM81-A (ID)

Frequently Asked Questions

NPI 1053650010 is the National Provider Identifier for KELLIE NORTHAM, PMHNP-BC, CNM, a Nurse Practitioner - Psychiatric/Mental Health provider located in Nampa, ID. This NPI was enumerated on February 11, 2013.
KELLIE NORTHAM, PMHNP-BC, CNM practices at 116 18TH AVE S, Nampa, ID 83651.

Quick Facts

NPI
1053650010
Type
Individual
Enumerated
Feb 11, 2013
Last Updated
Dec 5, 2025

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