Individual
MRS. ELIZABETH ANN KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 BEAVER RD, LAPWAI, ID 83540
(208) 843-2271
(208) 843-2658
Mailing address
1131 30TH ST, LEWISTON, ID 83501
(208) 743-2299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP806A
ID
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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