Individual provider · Type 1 NPI
Mary Teresa Walters, CPNP
Nurse Practitioner · Boise, ID
Practice location
100 E Idaho St
Boise, ID 83712
Fax (208) 381-5112
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 57929 (ID) |
Nurse Practitioner: (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 wit…
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About NPI 1477042802
Mary Teresa Walters, CPNP's National Provider Identifier is 1477042802, issued on May 1, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Nov 5, 2024.