Individual
KATE ELIZABETH REIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
16760 N HIGHWAY 41, RATHDRUM, ID 83858-8715
(208) 620-5250
(844) 807-3782
Mailing address
1382 W TANAGER AVE, HAYDEN, ID 83835-8855
(509) 999-0100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66278
ID
Other
Enumeration date
11/05/2020
Last updated
12/13/2021
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