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Individual

DAVID BRYAN GIERUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
2120 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814-2639
(208) 625-6944
(208) 625-6945
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2161178
ID
363LG0600X
Gerontology Nurse Practitioner
Primary
2161178
ID
363LG0600X
Gerontology Nurse Practitioner
APRN9415036
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016391000
FL
Enumeration date
12/15/2015
Last updated
08/08/2025
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