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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAITLINN KUUIPO TANAKA, LPN

Active

CAITLINN KUUIPO TANAKA, LPN is a Licensed Practical Nurse healthcare provider located in CHUBBUCK, Idaho. NPI 1841712049 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · CHUBBUCK, ID

Registration Details

NPI Number
1841712049
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2017 (9.0658790104625 yrs)
Last Updated
Jul 10, 2017
License
PN-46661 (ID)

Practice Information

Address
4835 TRENT ST
CHUBBUCK, ID, 832022955
Browse ID providers · Browse ZIP 83202
Phone
2082416815
Fax
2082416815
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in CHUBBUCK, ID

Name Credential NPI
IVY LEWIS LEWIS LPN 1972310035
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.