# DOCTOR OF NURSING PRACTICE PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811725088
- **Authorized official:** DR. ANDREA LYNN GAREY DNP, FNP-C (MANAGER)
- **Authorized official phone:** (208) 786-0569

## Contact information

- **Practice address:** 3904 E MULLAN AVE STE C, POST FALLS, ID 83854-4009
- **Practice address phone:** (208) 786-0569
- **Mailing address:** 1869 E SELTICE WAY \# 365, POST FALLS, ID 83854-7019
- **Mailing address phone:** (208) 786-0569
- **Mailing address fax:** (833) 973-4009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2024
- **Last updated:** 09/10/2025
