Mendy Williams
Nurse Anesthetist, Certified Registered in Boise, ID. Individual provider (NPI-1).
NPI number1366976151
StatusActive
Last updated in NPPESFeb 18, 2024
Details
- NPI
- 1366976151
- Entity type
- Individual (NPI-1)
- Name
- Mendy Williams
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2017
- Certification date
- Feb 18, 2024
- Last updated
- Feb 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 55935 | ID | Yes |
Practice location
338 E Bannock StBoise, ID 83712-6207
Phone 208-336-0895
Mailing address
338 E Bannock StBoise, ID 83712-6207
Phone 208-336-0895
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