Individual
SANDRA NELSON WOOLSTENHULME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
120 E HOWARD ST, DRIGGS, ID 83422-5112
(208) 354-2383
Mailing address
560 APPALOOSA TRL, DRIGGS, ID 83422-5122
(208) 399-2889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
65101
ID
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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