Whalio Doctors

NPI 1255527073

Marty J Williams, FNP

Practitioner Nurse Practitioner Coeur D'Alene, ID

Practice location

Address
700 W. Ironwood Drive Suite 155, Coeur D'Alene, ID 83814-2666
Phone
(208) 667-0585
Fax
(208) 667-0876

Registered specialties

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence NP911A (ID)

Registry record

NPI
1255527073
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Sep 2007
Record last updated
18 Dec 2013

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.