Provider Demographics
NPI:1568277598
Name:BOCHENEK, BRITNEY J (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:J
Last Name:BOCHENEK
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1653 W 7800 S
Mailing Address - Street 2:
Mailing Address - City:REXBURG
Mailing Address - State:ID
Mailing Address - Zip Code:83440-4521
Mailing Address - Country:US
Mailing Address - Phone:208-390-1334
Mailing Address - Fax:
Practice Address - Street 1:1653 W 7800 S
Practice Address - Street 2:
Practice Address - City:REXBURG
Practice Address - State:ID
Practice Address - Zip Code:83440-4521
Practice Address - Country:US
Practice Address - Phone:208-390-1334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-07
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID5171850363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health