Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSIE A ELLENWOOD, LPN
ActiveLicensed Practical Nurse · LAPWAI, ID
Registration Details
- NPI Number
- 1033208582
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2006 (19.557080793994 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PN-9235 (ID)
Practice Information
- Address
-
111 BEVER GRADELAPWAI, ID, 835400365Browse ID providers · Browse ZIP 83540
- Phone
- 2088432271
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in LAPWAI, ID
| Name | Credential | NPI |
|---|---|---|
| SABRINA GAIL MORTON | LPN | 1417976614 |
| SALLY ANN SCHEEVAL | LPN | 1811068240 |
| MRS. MARIE JEANETTE COOPER | LPN | 1649308750 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.