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Individual

ERICA LYNN PANTTAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2288 N MERRITT CREEK LOOP STE 200, COEUR D ALENE, ID 83814-4992
(208) 625-3800
(208) 625-3801
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-3800
(208) 625-3801

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
68985
ID
363LA2100X
Acute Care Nurse Practitioner
Primary
68985
ID

Other

Enumeration date
10/19/2023
Last updated
05/13/2026
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