NPI 1699573162

Mariah Williams

Practitioner Peer Specialist Ammon, ID

Practice location

Address: 2705 E 17th St, Ammon, ID 83406-6669
Phone: (208) 346-7500

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1699573162
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Mar 2025
Record last updated: 3 Mar 2025

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.