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Judy A Metelko, CNS,ARNP
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Lewiston, Idaho
NPI 1932247665

Judy A Metelko is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Lewiston, ID and is specialized in Psychiatric/Mental Health, Adult. Judy A Metelko practices in Lewiston, ID and has the professional credentials of CNS,ARNP. The NPI Number for Judy A Metelko is 1932247665 and holds a License No. CNS-1A (Idaho).

The current practice location address for Judy A Metelko is 415 6Th St, Lewiston, ID and can be reached out via phone at 208-743-2511 and via fax at 208-799-5554.

Location: 415 6Th St, Lewiston, ID, 83501-2431
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Provider Profile Details
NPI Number
1932247665
Provider Name
Judy A Metelko
Credential
CNS,ARNP
Provider Entity Type
Individual
Gender
Female
Address
415 6Th St, Lewiston, ID, 83501-2431
Phone Number
208-743-2511
Fax Number
208-799-5554
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9627472 05 WA
HBUR5 01 ID IDAHO BLUE CROSS IND
805366200 05 ID
8C576 01 ID BLUE CROSS OF IDAHO
10017766 01 ID REGENCE OF IDAHO
institution
Provider Business Practice Location Address Details
Address
415 6Th St
City
State
Zip
83501-2431
Phone Number
208-743-2511
Fax Number
208-799-5554
person
Provider Business Mailing Address Details
Address
415 6Th St
City
State
Zip
83501-2431
Phone Number
208-743-2511
Fax Number
208-799-5554
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
CNS-1A (Idaho)
Definition
Definition to come...
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