Individual
PATRICIA JANE HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1205 HIGHWAY 2, SUITE 301, SANDPOINT, ID 83864-0913
(208) 265-9909
(208) 265-5351
Mailing address
PO BOX 2400, SANDPOINT, ID 83864-0913
(208) 265-9909
(208) 265-5351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4085
MT
207Q00000X
Family Medicine Physician
Primary
7962
ID
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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