Individual provider · Type 1 NPI
Denny Bordeaux, RN, PARAMEDIC
Flight Registered Nurse · Coeur D Alene, ID
NPI number
1235517079
Active
Practice location
7294 Downing Lane
Coeur D Alene, ID 83815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Paramedic | 146L00000X | 37139 (ID) |
| Paramedic | 146L00000X | MED-PARA-LIC-33359 (MT) |
| Paramedic | 146L00000X | 130546 (OR) |
| Flight Registered Nurse | 163WF0300X | RN60455585 (WA) |
| Flight Registered Nurse | 163WF0300X | 201140887RN (OR) |
| Flight Registered Nurse Primary | 163WF0300X | N-47481 (ID) |
| Flight Registered Nurse | 163WF0300X | NUR-RN-LIC-72952 (MT) |
Flight Registered Nurse: Definition to come...
About NPI 1235517079
Denny Bordeaux, RN, PARAMEDIC's National Provider Identifier is 1235517079, issued on May 13, 2015. The primary taxonomy on file is Flight Registered Nurse (163WF0300X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 13, 2015.