Individual
SANDRA AVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 263-1441
Mailing address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 263-1441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TEMP78136
ID
Other
Enumeration date
06/23/2016
Last updated
10/29/2024
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