Individual
TERI RENEE ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6190 N SUNSHINE ST STE E, COEUR D ALENE, ID 83815-8697
(208) 719-0311
Mailing address
6190 N SUNSHINE ST STE E, COEUR D ALENE, ID 83815-8697
(208) 719-0311
(208) 719-0301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60590
ID
Other
Enumeration date
02/12/2019
Last updated
03/08/2022
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