Provider Demographics
NPI:1841210820
Name:URQUHART, PATRICIA A (MSN NURSE PRACTITION)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:URQUHART
Suffix:
Gender:F
Credentials:MSN NURSE PRACTITION
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:A
Other - Last Name:URQUHART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:215 10TH STREET
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501
Mailing Address - Country:US
Mailing Address - Phone:208-799-3100
Mailing Address - Fax:208-799-0349
Practice Address - Street 1:215 10TH ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501
Practice Address - Country:US
Practice Address - Phone:208-799-3100
Practice Address - Fax:208-799-0349
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP383A363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9623398Medicaid
IDMU1428033OtherDEA NUMBER
IDMU1428033OtherDEA NUMBER