Individual
MARY R FIEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1020 MICHIGAN ST, SANDPOINT, ID 83864-1788
(208) 263-5159
(208) 263-6963
Mailing address
8500 N ATLAS RD, HAYDEN, ID 83835-8332
(208) 415-5270
(208) 415-5101
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP397A
ID
Other
Enumeration date
03/07/2006
Last updated
03/16/2022
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