FNP William Mark Imus JR., NPI 1902836802
Nurse Practitioner in Grangeville, ID, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1902836802
NPI Entity Type Individual
Provider Name FNP William Mark Imus JR.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 610 Nw 2nd St, Grangeville, ID, US
Provider Mailing Address 610 Nw 2nd St, Grangeville, ID, US, 835301244
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363L00000X

Taxonomy Name Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. NP57A
License State ID
Description (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Business Address

FNP William Mark Imus JR.
610 Nw 2nd St

Grangeville, ID, US

Phone: 208-983-5120
Fax: 208-983-5404

Mailing Address

FNP William Mark Imus JR.
610 Nw 2nd St
Grangeville, ID, US
ZIP 835301244
Phone: 208-983-5120
Fax: 208-983-5404

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
804251600 ID MEDICAID 05
NPWD6 ID BLUE CROSS OF IDAHO 01
000010152061 ID REGENCE BLUE SHIELD 01

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NPI Name Taxonomy Address

1861962698

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Organization

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Organization

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Organization

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Bruce W Hamerl O D P C

Organization

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Organization

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MRS. RPT Kimberly W Schwarze

Individual

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PT, DPT Katherine Buschhorn

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Pocatello, ID

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Odyssey Healthcare Operating B, Lp

Organization

Community Based Hospice Care Agency

1230 Northwood Center Ct.

Ste. B

Coeur D'alene, ID

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