SUSIE ELLENWOOD, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1033208582
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | PN-9235 (ID) |
Frequently Asked Questions
NPI 1033208582 is the National Provider Identifier for SUSIE ELLENWOOD, LPN, a Licensed Practical Nurse provider located in Lapwai, ID. This NPI was enumerated on October 12, 2006.
SUSIE ELLENWOOD, LPN practices at 111 BEVER GRADE, Lapwai, ID 83540.
Quick Facts
- NPI
- 1033208582
- Type
- Individual
- Enumerated
- Oct 12, 2006
- Last Updated
- Jul 8, 2007
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