Weatherly, Madison
Weatherly, Madison is an individual health care provider with primary practice located at 101 11Th Ave S Ste 155 , Nampa ID 83651-3946. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Weatherly, Madison can be contacted via phone (208) 466-1077.Contact Information
Primary practice address
101 11Th Ave S Ste 155
Nampa ID 83651-3946
Phone: (208) 466-1077
Fax: (208) 467-2201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 3281922 | Idaho |
Profile Details
| NPI number | 1598419657 |
|---|---|
| LBN Legal business name | Weatherly, Madison |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2022 |
| Last updated | Jul 16th, 2026 - about 3 months 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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