Individual
PAMELA ANAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6565 N GAVIN LOOP, COEUR D ALENE, ID 83815-0066
(303) 887-7066
Mailing address
6565 N GAVIN LOOP, COEUR D ALENE, ID 83815-0066
(303) 887-7066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
55564
ID
363LP0200X
Pediatric Nurse Practitioner
Primary
55564
ID
Other
Enumeration date
07/07/2015
Last updated
03/08/2019
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