ANDREA GENTRY, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1104569383
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | PN-13375 (ID) |
Frequently Asked Questions
NPI 1104569383 is the National Provider Identifier for ANDREA GENTRY, LPN, a Licensed Practical Nurse provider located in Caldwell, ID. This NPI was enumerated on April 15, 2022.
ANDREA GENTRY, LPN practices at 4521 THOMAS JEFFERSON ST, Caldwell, ID 83605.
Quick Facts
- NPI
- 1104569383
- Type
- Individual
- Enumerated
- Apr 15, 2022
- Last Updated
- Apr 15, 2022
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