Individual
MRS. NICOLE M ENGLEDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARPN
Contact information
Practice address
500 8TH AVE, LEWISTON, ID 83501-2691
(208) 792-2685
(208) 792-2882
Mailing address
1012 S. 3RD ST, DAYTON, WA 99328
(509) 382-2531
(502) 382-3205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP60454197
WA
363LF0000X
Family Nurse Practitioner
NP-1307A
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60454197
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032544
—
WA
Enumeration date
07/31/2013
Last updated
02/28/2025
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