person
Nathaniel Ashby Vanvalin, PA
Medical Physician Assistant in Post Falls, Idaho
NPI 1386821759

Nathaniel Ashby Vanvalin is a Medical Physician Assistant based in Post Falls, ID and is specialized in Medical. Nathaniel Ashby Vanvalin practices in Post Falls, ID and has the professional credentials of PA. The NPI Number for Nathaniel Ashby Vanvalin is 1386821759 and holds a License No. PA1482 (Idaho).

The current practice location address for Nathaniel Ashby Vanvalin is 750 N Syringa St Ste 100, Post Falls, ID and can be reached out via phone at 208-262-2600 and via fax at 208-262-2700. You can also correspond with Nathaniel Ashby Vanvalin through the mailing address at 1593 E POLSTON AVE, POST FALLS, ID - 83854-5326 (mailing address contact number: 208-262-2498).

Location: 750 N Syringa St Ste 100, Post Falls, ID, 83854-5326
person
Provider Profile Details
NPI Number
1386821759
Provider Name
Nathaniel Ashby Vanvalin
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
750 N Syringa St Ste 100, Post Falls, ID, 83854-5326
Phone Number
208-262-2600
Fax Number
208-262-2700
Provider Enumeration Date
01/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1386821759 05 ID
institution
Provider Business Practice Location Address Details
Address
750 N Syringa St Ste 100
City
State
Zip
83854-5275
Phone Number
208-262-2600
Fax Number
208-262-2700
person
Provider Business Mailing Address Details
Address
750 N Syringa St Ste 100
City
State
Zip
83854-5275
Phone Number
208-262-2600
Fax Number
208-262-2700
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1482 (Idaho)
Definition
Definition to come...
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