Masterson, Twyla Jean

Masterson, Twyla Jean is an individual health care provider with primary practice located at 850 W Ironwood Dr Ste 300 , Coeur D Alene ID 83814-4903. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Masterson, Twyla Jean can be contacted via phone (208) 457-7078.

Contact Information

Primary practice address
850 W Ironwood Dr Ste 300 Coeur D Alene ID 83814-4903
Phone: (208) 457-7078
Fax: (208) 457-7079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X N15400 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30006632 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-471A Idaho

Profile Details

NPI number 1366548661
LBN Legal business name Masterson, Twyla Jean
Credentials RN, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Mar 15th, 2023 - about 3 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 1366548661 NPPES
Idaho MEDICAID 1366548661

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