NPI 1104569383

Andrea Marie Gentry, LPN

Practitioner Licensed Practical Nurse Caldwell, ID

Practice location

Address: 4521 Thomas Jefferson St, Caldwell, ID 83605-5100
Phone: (208) 454-4820
Fax: (208) 454-4859

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN-13375 (ID)

Other Licensed Practical Nurse providers in Idaho →

Registry record

NPI: 1104569383
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2022
Record last updated: 15 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.