person
Susie A Ellenwood, LPN
Licensed Practical Nurse in Lapwai, Idaho
NPI 1033208582

Susie A Ellenwood is a Licensed Practical Nurse based in Lapwai, ID. Susie A Ellenwood practices in Lapwai, ID and has the professional credentials of LPN. The NPI Number for Susie A Ellenwood is 1033208582 and holds a License No. PN-9235 (Idaho).

The current practice location address for Susie A Ellenwood is 111 Bever Grade, Lapwai, ID and can be reached out via phone at 208-843-2271.

Location: 111 Bever Grade, Lapwai, ID, 83540-0201
person
Provider Profile Details
NPI Number
1033208582
Provider Name
Susie A Ellenwood
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
111 Bever Grade, Lapwai, ID, 83540-0201
Phone Number
208-843-2271
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
111 Bever Grade
City
State
Zip
83540-0365
Phone Number
208-843-2271
Fax Number
person
Provider Business Mailing Address Details
Address
111 Bever Grade
City
State
Zip
83540-0365
Phone Number
208-843-2271
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
PN-9235 (Idaho)
Definition
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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