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Andrea Marie Gentry, LPN
Licensed Practical Nurse in Caldwell, Idaho
NPI 1104569383

Andrea Marie Gentry is a Licensed Practical Nurse based in Caldwell, ID. Andrea Marie Gentry practices in Caldwell, ID and has the professional credentials of LPN. The NPI Number for Andrea Marie Gentry is 1104569383 and holds a License No. PN-13375 (Idaho).

The current practice location address for Andrea Marie Gentry is 4521 Thomas Jefferson St, Caldwell, ID and can be reached out via phone at 208-454-4820 and via fax at 208-454-4859.

Location: 4521 Thomas Jefferson St, Caldwell, ID, 83605-5100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104569383
Provider Name
Andrea Marie Gentry
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
4521 Thomas Jefferson St, Caldwell, ID, 83605-5100
Phone Number
208-454-4820
Fax Number
208-454-4859
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4521 Thomas Jefferson St
City
Caldwell
State
Idaho
Zip
83605-5100
Phone Number
208-454-4820
Fax Number
208-454-4859
person
Provider Business Mailing Address Details
Address
4521 Thomas Jefferson St
City
Caldwell
State
Idaho
Zip
83605-5100
Phone Number
208-454-4820
Fax Number
208-454-4859
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN-13375 (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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