BIANCA MARTINEZ SCANLON
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1548773575- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2561 W SELTICE WAY, POST FALLS, ID, 838548093
- Phone
- (208) 981-0132
Specialties & Taxonomies
Internal Medicine, Gastroenterology
License: NY #F341979-1
Nurse Practitioner
Primary License: ID #69796
All Addresses
MAILING
13820 N LAUREN LOOP UNIT 1
RATHDRUM, ID, 838588844