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MARCELA AZEVEDO PMHNP-BC
NPI 1639004583
Nurse Practitioner - Psychiatric/Mental Health in Eagle, ID

Active since June 15, 2026
45 COTTONWOOD CT, EAGLE, ID 83616(208) 648-4100 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marcela Azevedo Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCELA AZEVEDO PMHNP-BC (NPI 1639004583) is an individual psychiatric/mental health provider in Eagle, Idaho, licensed in Idaho (9681016) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1639004583
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARCELA AZEVEDOCredential: PMHNP-BC
Location Address45 COTTONWOOD CTEagle, ID 83616-6577
Mailing Address45 Cottonwood Ct Ste 140Eagle, ID 83616-6577 · (208) 648-4100
Phone(208) 648-4100
Sole ProprietorNo
Enumeration DateJune 15, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1639004583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 9681016
45 COTTONWOOD CT, Eagle, ID 83616
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcela Azevedo's NPI number?

The NPI number for Marcela Azevedo is 1639004583. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Marcela Azevedo located?

Marcela Azevedo practices at 45 Cottonwood Ct, Eagle, ID 83616. The listed phone number is (208) 648-4100.

What is Marcela Azevedo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Marcela Azevedo was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.