Individual provider · Type 1 NPI

Kellie Kathryn Breaux, FNP-MSN

Family Nurse Practitioner · Coeur D Alene, ID

NPI number 1861939910 Active

Practice location

700 W Ironwood Dr, Suite 155
Coeur D Alene, ID 83814-2656

Call (208) 667-0585 Map

Fax (208) 667-0876

Mailing address

700 W. Ironwood Drive, Suite 155
Coeur D'alene, ID 83814-4462

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X55031 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1861939910

Kellie Kathryn Breaux, FNP-MSN's National Provider Identifier is 1861939910, issued on Jan 27, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 10, 2017.