William Mark Imus Jr. is a Grangeville, Idaho based nurse practitioner. Active license number of William Mark Imus Jr. is NP57A in Idaho. His current practice location is 610 Nw 2nd St, Grangeville. Patients can reach him at 208-983-5120 or can fax him at 208-983-5404. William Mark Imus Jr. is FNP and his NPI number (Unique professional ID assigned by NPPES) is 1902836802. William Mark Imus Jr. has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
William Mark Imus Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1902836802
NPI Enumeration Date:
04 Jul, 2006
NPI Last Update On:
08 Jul, 2009
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for William Mark Imus Jr. are as mentioned below.
License Number
Specialization
State
Status
NP57A
Idaho
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with William Mark Imus Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
804251600
Medicaid
Idaho
NPWD6
Other
Idaho
BLUE CROSS OF IDAHO
000010152061
Other
Idaho
REGENCE BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
William Mark Imus Jr. 610 Nw 2nd St, Grangeville, Idaho
Zip:
83530-1244
Phone Number:
208-983-5120
Fax Number:
208-983-5404
Patients can reach William Mark Imus Jr. at 610 Nw 2nd St, Grangeville, Idaho or can call to book an appointment on 208-983-5120.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.