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Individual

MICHELLE POELSTRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
30410 HIGHWAY 200, PONDERAY, ID 83852-9601
(208) 263-3211
Mailing address
26 LULA CT, SANDPOINT, ID 83864-2326
(208) 610-5181

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1271146
ID

Other

Enumeration date
02/02/2026
Last updated
02/02/2026
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