William Imus, FNP

NPI 1902836802 · on the registry since 2006

Practice

Address: 610 Nw 2nd St
Grangeville, ID 83530
Phone: (208) 983-5120
Fax: (208) 983-5404
Organisation at this address: Mountain State Family Medicine, Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho