Individual provider · Type 1 NPI

Andrea Marie Gentry, LPN

Licensed Practical Nurse · Caldwell, ID

NPI number 1104569383 Active

Practice location

4521 Thomas Jefferson St
Caldwell, ID 83605-5100

Fax (208) 454-4859

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN-13375 (ID)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104569383

Andrea Marie Gentry, LPN's National Provider Identifier is 1104569383, issued on Apr 15, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Caldwell, ID. The record was last updated on Apr 15, 2022.