Provider Demographics
NPI:1467342121
Name:GLASS HALF FULL
Entity type:Organization
Organization Name:GLASS HALF FULL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:208-900-5946
Mailing Address - Street 1:1199 W SHORELINE LN STE 280
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-9102
Mailing Address - Country:US
Mailing Address - Phone:208-593-3263
Mailing Address - Fax:208-957-7437
Practice Address - Street 1:1199 W SHORELINE LN STE 280
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-9102
Practice Address - Country:US
Practice Address - Phone:208-593-3263
Practice Address - Fax:208-957-7437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-05
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty