Organization · Type 2 NPI
Inlande Empire Gymnastics Association
Primary Care Nurse Practitioner · Coeur D Alene, ID
NPI number
1124825724
Active
Practice location
6360 N Sunshine St
Coeur D Alene, ID 83815-8699
Fax (208) 601-6153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Coeur D Alene
About NPI 1124825724
Inlande Empire Gymnastics Association's National Provider Identifier is 1124825724, issued on Mar 1, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Coeur D Alene, ID. The record was last updated on Mar 1, 2025.