Individual provider · Type 1 NPI

Madison Willhide

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1205619475 Active

Practice location

875 Perimeter Dr
Moscow, ID 83844-9803

Call (208) 885-6111 Map

Mailing address

6521 193rd Ave E
Bonney Lake, WA 98391-8847

Specialties and licenses

TaxonomyCodeLicense
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205619475

Madison Willhide's National Provider Identifier is 1205619475, issued on Aug 14, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on Aug 17, 2023.