Georgetta Okumagba, PMHNP Valid NPI
Individual provider · Psychiatry Physician · Boise, ID
- NPI
- 1801775507
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatry Physician (Psychiatry & Neurology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2084P0800X
- License number
- 5771468 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2025-08-28
- Last updated
- 2025-08-28
Practice location
9492 W Fairview Ave
Boise, ID 83704-8101
(208) 284-7100