Individual
MS. KATELYN ROSE DENISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
712 W 5TH ST, SHOSHONE, ID 83352-5414
(208) 420-4435
Mailing address
712 W 5TH ST, SHOSHONE, ID 83352-5414
(208) 420-4435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
56539
ID
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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