Whalio Doctors

NPI 1023410990

Mary Elisabeth Titmus, PAC

Practitioner Physician Assistant Nampa, ID

Practice location

Address
3165 E Greenhurst Rd, Nampa, ID 83686-8655
Phone
(208) 463-7330

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA174433 (OR)

Registry record

NPI
1023410990
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Sep 2014
Record last updated
14 Jan 2020

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.