Individual
LAURIE SUSANNE EDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
502 E AMENDE DR, ODESSA, WA 99159-7003
(999) 999-9999
Mailing address
8554 BENEWAH CREEK RD, ST MARIES, ID 83861-9367
(208) 610-6213
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30007043
WA
Other
Enumeration date
08/21/2006
Last updated
11/17/2023
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