Individual
MARY SANDRA DUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
920 W IRONWOOD DR, COEUR D ALENE, ID 83814-2463
(208) 667-4557
(208) 765-2887
Mailing address
920 W IRONWOOD DR, COEUR D ALENE, ID 83814-2463
(208) 667-4557
(208) 765-2887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP303A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804132800
—
ID
Enumeration date
01/25/2006
Last updated
01/11/2010
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