Individual provider · Type 1 NPI
William Mark Imus Jr., FNP
Nurse Practitioner · Grangeville, ID
Practice location
610 NW 2nd St
Grangeville, ID 83530-1244
Fax (208) 983-5404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP57A (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…
Another provider at this address
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About NPI 1902836802
William Mark Imus Jr., FNP's National Provider Identifier is 1902836802, issued on Jul 4, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grangeville, ID. The record was last updated on Jul 8, 2009.