Araquistain, Mary K

Araquistain, Mary K is an individual health care provider with primary practice located at 1552 N Crestmont Dr Ste B, Meridian ID 83642-2193. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Araquistain, Mary K can be contacted via phone (208) 957-5532.

Contact Information

Primary practice address
1552 N Crestmont Dr Ste B Meridian ID 83642-2193
Fax: (208) 985-2261
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200250108NP Oregon

Profile Details

NPI number 1427152784
LBN Legal business name Araquistain, Mary K
Credentials MSN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Aug 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427152784 NPPES
Idaho Other N-17210 STATE OF IDAHO BOARD OF NURSING REGISTERED NURSE LICENSE
Idaho Other NP-1139A STATE OF IDAHO BOARD OF NURSING REGISTERED NURSE LICENSE
Idaho Other 097006738RN STATE OF IDAHO BOARD OF NURSING REGISTERED NURSE LICENSE
Idaho Other 200250108NP STATE OF IDAHO BOARD OF NURSING REGISTERED NURSE LICENSE
Idaho Other 0167918-22 STATE OF IDAHO BOARD OF NURSING REGISTERED NURSE LICENSE

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