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Contact Information

PAMELA J MARTIN, REGISTERED NURSE
500 W FORT ST
BOISE, ID83702-4501
 Phone: 208-422-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

163WG0100X
Indicates primary specialty

NPI Profile & details for PAMELA J MARTIN · (Female)

NPI Number 1770100695
Status Active
Credentials REGISTERED NURSE
Entity Individual
Enumeration date 06/26/2020
Last updated 06/26/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # N-28164
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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