Individual
MARY WHITNEY PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.N.
Contact information
Practice address
401 PONDEROSA CT APT 102, MOSCOW, ID 83843-3451
(509) 926-4984
Mailing address
401 PONDEROSA CT APT 102, MOSCOW, ID 83843-3451
(509) 926-4984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-46553
ID
163W00000X
Registered Nurse
R0052230
OK
163W00000X
Registered Nurse
Primary
RN60337048
WA
163WH1000X
Hospice Registered Nurse
N-46553
ID
163WH1000X
Hospice Registered Nurse
RN60337048
WA
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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