NPI 1184113482

Kolleen Marie Wynn-Gallipeau, CERTIFIEDPEERSUPP

Practitioner Peer Specialist Pocatello, ID

Practice location

Address: 444 Hospital Way STE 447, Pocatello, ID 83201-2744
Phone: (208) 233-7832
Fax: (208) 233-7835

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Idaho →

Registry record

NPI: 1184113482
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2018
Record last updated: 2 May 2018

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.