Individual
SCARLETT JO UHLENKOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 LEWISTON STREET, COTTONWOOD, ID 83522
(208) 962-3267
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 962-3251
(208) 962-2313
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP-995A
ID
363LF0000X
Family Nurse Practitioner
Primary
NP995A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639482888
—
ID
Enumeration date
07/16/2010
Last updated
12/29/2020
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