Individual
TRACY STREIBICK FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, NP-C
Contact information
Practice address
1203 IDAHO ST, LEWISTON, ID 83501-1940
(208) 848-8300
Mailing address
217 N POLK ST, MOSCOW, ID 83843-2744
(208) 413-8205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP1569-A
ID
Other
Enumeration date
10/06/2015
Last updated
11/06/2023
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