Individual
MARTI D STOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
980 W IRONWOOD DR, SUITE 104, COEUR D ALENE, ID 83814-2668
(208) 667-0621
Mailing address
3575 W FAIRWAY DR, COEUR D ALENE, ID 83815-9046
(208) 667-6321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-691A
ID
Other
Enumeration date
02/20/2007
Last updated
04/15/2013
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