| Mr William Lincoln Poulson, NP-C | |
|
13500 South Pleasant Valley Road, Kuna, ID 83634 | |
| (208) 371-7468 | |
| Not Available |
| Full Name | Mr William Lincoln Poulson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 13500 South Pleasant Valley Road, Kuna, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538414354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP-1187-A (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Lincoln Poulson, NP-C Po Box 14, Boise, ID 83707-0014 Ph: (208) 371-7468 | Mr William Lincoln Poulson, NP-C 13500 South Pleasant Valley Road, Kuna, ID 83634 Ph: (208) 371-7468 |
Selah Worley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13500 Pleasant Vly Rd, Kuna, ID 83634 Phone: 208-336-0740 | |
Sara Joanne Mitchem, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2286 Poen Rd, Kuna, ID 83634 Phone: 208-830-2518 | |
Kara Dawn Prince, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 825 W Deer Flat Rd Ste 150, Kuna, ID 83634 Phone: 208-858-4876 | |
Mr. Rex O Underwood Ii, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13900 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-333-0037 | |
Amanda Marie Tillemans, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13500 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-336-0740 | |
Brennan N Carmody, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 943 N Linder Rd Ste 103, Kuna, ID 83634 Phone: 208-565-0978 |