MARY TERESA WALTERS

BOISE, ID
NPI1477042802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  57929)
Enumeration Date2018-05-01
Last Update Date2024-11-05
Business Address
Mrs. MARY TERESA WALTERS CPNP
100 E IDAHO ST
BOISE, ID 83712
Phone number: 208-381-5111
Mailing Address
Mrs. MARY TERESA WALTERS CPNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: