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Caitlinn Kuuipo Tanaka, LPN
Licensed Practical Nurse in Chubbuck, Idaho
NPI 1841712049

Caitlinn Kuuipo Tanaka is a Licensed Practical Nurse based in Chubbuck, ID. Caitlinn Kuuipo Tanaka practices in Chubbuck, ID and has the professional credentials of LPN. The NPI Number for Caitlinn Kuuipo Tanaka is 1841712049 and holds a License No. PN-46661 (Idaho).

The current practice location address for Caitlinn Kuuipo Tanaka is 4835 Trent St, Chubbuck, ID and can be reached out via phone at 208-241-6815 and via fax at 208-241-6815.

Location: 4835 Trent St, Chubbuck, ID, 83202-2955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841712049
Provider Name
Caitlinn Kuuipo Tanaka
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
4835 Trent St, Chubbuck, ID, 83202-2955
Phone Number
208-241-6815
Fax Number
208-241-6815
Provider Enumeration Date
07/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4835 Trent St
City
Chubbuck
State
Idaho
Zip
83202-2955
Phone Number
208-241-6815
Fax Number
208-241-6815
person
Provider Business Mailing Address Details
Address
4835 Trent St
City
Chubbuck
State
Idaho
Zip
83202-2955
Phone Number
208-241-6815
Fax Number
208-241-6815
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN-46661 (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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