Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

William Mark Imus Jr., FNP

Individual provider Nurse Practitioner · NPI 1902836802

William Mark Imus Jr., FNP is a Nurse Practitioner in Grangeville, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

610 NW 2nd St
Grangeville, ID 83530-1244
Phone: (208) 983-5120
Fax: (208) 983-5404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP57A (ID)

Record details

NPI number1902836802
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESJuly 8, 2009

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