Individual
ANDENA JEWEL HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 8TH AVE, SGC 42, LEWISTON, ID 83501-2691
(208) 792-2251
(208) 792-2882
Mailing address
500 8TH AVE, SGC 42, LEWISTON, ID 83501-2691
(208) 792-2251
(208) 792-2882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
565A
ID
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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