Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | NP-529A | ID |
NPI | 1679603203 |
---|---|
Provider Name | Maree P Mchugh |
First Address | Spokane, WA 99201-0233 |
Second Address | Lewiston, ID 83501-2419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 15/04/2010 |