Individual
ROBERTA JEAN TRUSCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., M.P.S.
Contact information
Practice address
3774 N SUTTERS WAY, COEUR D ALENE, ID 83815-9140
(208) 765-0294
Mailing address
3774 N SUTTERS WAY, COEUR D ALENE, ID 83815-9140
(208) 765-0294
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
N-13024
ID
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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