Individual provider · Type 1 NPI

Pamela Jane Martin, REGISTERED NURSE

Gastroenterology Registered Nurse · Boise, ID

NPI number 1770100695 Active

Practice location

500 W Fort St
Boise, ID 83702-4501

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Registered Nurse Primary 163WG0100XN-28164 (ID)

Gastroenterology Registered Nurse: Definition to come...

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About NPI 1770100695

Pamela Jane Martin, REGISTERED NURSE's National Provider Identifier is 1770100695, issued on Jun 26, 2020. The primary taxonomy on file is Gastroenterology Registered Nurse (163WG0100X), and the practice location is in Boise, ID. The record was last updated on Jun 26, 2020.