Whalio Doctors

NPI 1003201138

Deborah Magnuson, APRN

Practitioner Pediatric Nurse Practitioner Coeur D Alene, ID

Practice location

Address
1090 W Park Pl, Coeur D Alene, ID 83814-2785
Phone
(208) 215-2005
Fax
(844) 807-3782
Mailing address
PO Box 1387, Hayden, ID 83835-1387

Registered specialties (2)

Pediatric Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 74206 (ID)
Pediatric Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence CNP3754 (MN)

Registry record

NPI
1003201138
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Apr 2015
Record last updated
10 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.