Individual
ELAINE DURKHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4323 FAIRWAY NINE, SUN VALLEY, ID 83353
(208) 720-7204
Mailing address
PO BOX 992, KETCHUM, ID 83340-0992
(208) 720-7204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-21729
ID
163W00000X
Registered Nurse
RN-48417
MT
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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