Walters, Mary Renee
Walters, Mary Renee is an sole proprietor health care provider with primary practice located at 500 W Fort St , Boise ID 83702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walters, Mary Renee can be contacted via phone (208) 422-1000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 53105 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 53-46306-042 | Kansas |
Profile Details
| NPI number | 1205175577 |
|---|---|
| LBN Legal business name | Walters, Mary Renee |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2013 |
| Last updated | Apr 19th, 2022 - about 4 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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