Individual
MERRELL STEPHANIE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
313 3RD STREET, NIMIIPUU HEALTH, KAMIAH, ID 83536
(208) 935-0733
(208) 935-1005
Mailing address
PO BOX 367, 111 BEVER GRADE, LAPWAI, ID 83540
(208) 843-2217
(208) 843-9406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N28955
ID
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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