Individual
MRS. BRENDA G ELLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2914 E FERNAN HILL RD, COEUR D ALENE, ID 83814-7562
(208) 667-4985
Mailing address
2914 E FERNAN HILL RD, COEUR D ALENE, ID 83814-7562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-21324
ID
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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