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WILLIAM MARK IMUS JR. FNP
NPI 1902836802
Nurse Practitioner in Grangeville, ID

Active since July 04, 2006
610 NW 2ND ST, GRANGEVILLE, ID 83530(208) 983-5120(208) 983-5404 Get Directions Write a Review

NPPES record last updated: July 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About William Mark Imus Jr. Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM MARK IMUS JR. FNP (NPI 1902836802) is an individual nurse practitioner in Grangeville, Idaho, licensed in Idaho (NP57A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1902836802
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameWILLIAM MARK IMUS JR.Credential: FNP
Location Address610 NW 2ND STGrangeville, ID 83530-1244
Mailing Address610 Nw 2nd StGrangeville, ID 83530-1244 · (208) 983-5120 · Fax (208) 983-5404
Phone(208) 983-5120
Fax(208) 983-5404
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2009
✔ NPI 1902836802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · NP57A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
610 NW 2ND ST, Grangeville, ID 83530
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Other Identifiers 5

Other000010152061ID · Regence Blue Shield
OtherNPWD6ID · Blue Cross Of Idaho
Medicare UPINR37114ID
Medicare ID-Type Unspecified1341014ID
Medicaid804251600ID

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOUNTAIN STATE FAMILY MEDICINE, PC
Clinic/Center (Primary Care)
610 NW 2ND ST
GRANGEVILLE, ID 83530
Idaho County (208) 983-5120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Imus's NPI number?

The NPI number for William Imus is 1902836802. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is William Imus located?

William Imus practices at 610 NW 2nd St, Grangeville, ID 83530. The listed phone number is (208) 983-5120.

What is William Imus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for William Imus was last updated on July 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.