Individual
KIMBERLY M HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7850 W MAIN ST, RATHDRUM, ID 83858-6478
(208) 777-5418
(208) 561-7077
Mailing address
7850 W MAIN ST, RATHDRUM, ID 83858-6478
(208) 777-5418
(208) 561-7077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
33924
ID
163W00000X
Registered Nurse
Primary
RN00163840
WA
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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