Individual
NATHANIEL ASHBY VAN VALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
750 N SYRINGA ST STE 100, POST FALLS, ID 83854-5275
(208) 262-2600
(208) 262-2700
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2498
(509) 381-3540
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
Primary
PA1482
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386821759
—
ID
Enumeration date
01/28/2008
Last updated
03/30/2026
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