Individual
BREANNA MEKALAH COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1203 IDAHO ST, LEWISTON, ID 83501-1940
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5771245
ID
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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