Individual
DENNY BORDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PARAMEDIC
Contact information
Practice address
7294 DOWNING LANE, COEUR D ALENE, ID 83815
(208) 416-8324
Mailing address
7294 DOWNING LANE, COEUR D ALENE, ID 83815
(208) 416-8324
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
130546
OR
146L00000X
Paramedic
37139
ID
146L00000X
Paramedic
MED-PARA-LIC-33359
MT
163WF0300X
Flight Registered Nurse
201140887RN
OR
163WF0300X
Flight Registered Nurse
Primary
N-47481
ID
163WF0300X
Flight Registered Nurse
NUR-RN-LIC-72952
MT
163WF0300X
Flight Registered Nurse
RN60455585
WA
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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