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William Mark Imus JR., FNP
Nurse Practitioner in Grangeville, Idaho
NPI 1902836802

William Mark Imus JR. is a Nurse Practitioner based in Grangeville, ID. William Mark Imus JR. practices in Grangeville, ID and has the professional credentials of FNP. The NPI Number for William Mark Imus JR. is 1902836802 and holds a License No. NP57A (Idaho).

The current practice location address for William Mark Imus JR. is 610 Nw 2Nd St, Grangeville, ID and can be reached out via phone at 208-983-5120 and via fax at 208-983-5404. You can also correspond with William Mark Imus JR. through the mailing address at 610 NW 2ND ST, GRANGEVILLE, ID - 83530-1244 (mailing address contact number: 208-983-5120).

Location: 610 Nw 2Nd St, Grangeville, ID, 83530-1244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902836802
Provider Name
William Mark Imus JR.
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
610 Nw 2Nd St, Grangeville, ID, 83530-1244
Phone Number
208-983-5120
Fax Number
208-983-5404
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
804251600 05 ID
NPWD6 01 ID BLUE CROSS OF IDAHO
000010152061 01 ID REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
610 Nw 2Nd St
City
Grangeville
State
Idaho
Zip
83530-1244
Phone Number
208-983-5120
Fax Number
208-983-5404
person
Provider Business Mailing Address Details
Address
610 Nw 2Nd St
City
Grangeville
State
Idaho
Zip
83530-1244
Phone Number
208-983-5120
Fax Number
208-983-5404
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP57A (Idaho)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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