Tuthill, Mary Ann
Tuthill, Mary Ann is an individual health care provider with primary practice located at 6533 W Emerald St , Boise ID 83704-8737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tuthill, Mary Ann can be contacted via phone (208) 367-4170.Contact Information
Primary practice address
6533 W Emerald St
Boise ID 83704-8737
Phone: (208) 367-4170
Fax: (208) 367-8135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-13 | Idaho |
Profile Details
| NPI number | 1720020217 |
|---|---|
| LBN Legal business name | Tuthill, Mary Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Jan 5th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720020217 | NPPES |
| Idaho | MEDICAID | 001493100 |
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