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Individual

PAMELA SPICKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2517 17TH ST STE B, LEWISTON, ID 83501
(208) 743-4373
Mailing address
2517 17TH ST STE B, LEWISTON, ID 83501-6311
(208) 743-4373

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
57698
ID

Other

Enumeration date
03/09/2018
Last updated
05/15/2018
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