NPI 1124710819

Susan Adams, LPNNDPPCOACH

Practitioner Licensed Practical Nurse Council, ID

Practice location

Address: 205 N Berkley St, Council, ID 83612-5015
Phone: (208) 253-4242
Fax: (208) 253-6849
Mailing address: PO Box 428, Council, ID 83612-0428

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 59284 (ID)

Other Licensed Practical Nurse providers in Idaho →

Registry record

NPI: 1124710819
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2023
Record last updated: 22 May 2023

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.