Individual
SUSAN E HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PN MS AOCN
Contact information
Practice address
2000 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814
(208) 666-2000
(208) 666-3963
Mailing address
2000 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814
(208) 666-2000
(208) 666-3963
Taxonomy
Speciality
Code
Description
License number
State
364SX0200X
Oncology Clinical Nurse Specialist
Primary
CNS-10A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806210600
—
ID
Enumeration date
09/07/2005
Last updated
02/26/2010
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