Individual
SUSIE A ELLENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 BEVER GRADE, LAPWAI, ID 83540-0365
(208) 843-2271
Mailing address
PO BOX 201, LAPWAI, ID 83540-0201
(208) 843-9375
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-9235
ID
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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