Organization
SPEAR TMS
Active
Other names
North Idaho TMS
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PARQUETTE PA-C (OWNER)
(208) 619-9270
Entity
Organization
Contact information
Practice address
9321 N GOVERNMENT WAY STE E, HAYDEN, ID 83835-8263
(208) 502-2744
(208) 635-0135
Mailing address
9321 N GOVERNMENT WAY STE E, HAYDEN, ID 83835-8263
(208) 502-2744
(208) 635-0135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598779746
—
PA
05
—
1841618501
—
TX
Enumeration date
03/15/2022
Last updated
03/15/2022
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