Susie A Ellenwood in Lapwai - Licensed Practical Nurse
Susie A Ellenwood - NPI 1033208582
Susie A Ellenwood is a Licensed Practical Nurse in Lapwai, Idaho. Susie A Ellenwood practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Susie A Ellenwood is 1033208582. The last update date is 2007-07-08.
Susie A Ellenwood's current location address is Po Box 201, Lapwai, Idaho. You can contact this provider via phone number 2088439375. The mailing address for Susie A Ellenwood is Po Box 201, Lapwai, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susie A Ellenwood |
|---|---|
| Address | Po Box 201, Lapwai, Idaho |
| Phone Number | 2088439375 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1033208582 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 201 |
|---|---|
| City | Lapwai |
| State | Idaho (ID) |
| Post Code | 835400201 |
| Phone Number | 2088439375 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | PN-9235 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Susie A Ellenwood?
The Susie A Ellenwood has been issued the NPI (National Provider Identifier) 1033208582 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Susie A Ellenwood is physically located?
The Susie A Ellenwood is situated at the following address: Po Box 201, Lapwai, ID 835400201.
What is the Susie A Ellenwood's specialty and taxonomy code?
The Susie A Ellenwood's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date was the 1033208582 assigned to Susie A Ellenwood?
The Susie A Ellenwood was issued its 1033208582 on 2006-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Susie A Ellenwood most recently updated or revised?
The details related to Susie A Ellenwood, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.