Duff, Mary Sandra

Duff, Mary Sandra is an individual health care provider with primary practice located at 920 W Ironwood Dr , Coeur D Alene ID 83814-2463. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Duff, Mary Sandra can be contacted via phone (208) 667-4557.

Contact Information

Primary practice address
920 W Ironwood Dr Coeur D Alene ID 83814-2463
Phone: (208) 667-4557
Fax: (208) 765-2887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP303A Idaho

Profile Details

NPI number 1013987585
LBN Legal business name Duff, Mary Sandra
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 11th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013987585 NPPES
Idaho MEDICAID 804132800

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