Doctor profile · Federal record
Dr. Mary Walters, CPNP
Nurse Practitioner · Boise, ID
- NPI 1477042802
- 8 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
100 E Idaho St
Boise, ID 83712
(208) 381-5111
fax (208) 381-5112 - Mailing address
-
190 E Bannock St
Boise, ID 837126241
Credentials & registration
- NPI registered
- May 2018 — 8 yrs on file
- Profile last updated
- November 5, 2024
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Idaho #57929
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477042802. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pfizer INC. | 1 | $20.38 |
By nature of payment
Frequently asked questions
What is Dr. Mary Walters's medical specialty?
Dr. Mary Walters practices Nurse Practitioner in Boise, ID.
Where does Dr. Mary Walters practice?
Dr. Mary Walters practices at 100 E Idaho St, Boise, ID 83712. Office phone: 2083815111.
What is Dr. Mary Walters's NPI?
Dr. Mary Walters's National Provider Identifier (NPI) is 1477042802, issued by NPPES.