Individual
ELLEN WAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
8262 N WAYNE DR, HAYDEN, ID 83835-5029
(208) 699-2029
Mailing address
1697 E WOODSTONE DR, HAYDEN, ID 83835-6938
(208) 699-8577
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
N-34354
ID
174H00000X
Health Educator
Primary
RN 60247056
WA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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