Individual
ELLEN KAY ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
980 W IRONWOOD DR, SUITE 304, COEUR D ALENE, ID 83814
(208) 765-4888
(208) 667-8618
Mailing address
980 W IRONWOOD DR, SUITE 304, COEUR D ALENE, ID 83814
(208) 765-4888
(208) 667-8618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP409A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805337200
—
ID
Enumeration date
07/01/2006
Last updated
07/08/2007
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