Individual
ELLOUISE GEBAUER-ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1650 E 3800 N, BUHL, ID 83316-6118
(208) 543-4233
Mailing address
1650 E 3800 N, BUHL, ID 83316-6118
(208) 543-4233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-47A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010138571
PROVIDER NUMBER
ID
Enumeration date
03/12/2007
Last updated
10/07/2011
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