Whalio Doctors

NPI 1275587180

J Roye Ely, NP

Practitioner Nurse Practitioner Coeur D'Alene, ID

Practice location

Address
1052 W Mill Ave, Coeur D'Alene, ID 83814
Phone
(208) 664-3301
Fax
(877) 653-2694
Mailing address
PO Box 238, Hayden, ID 83835-0238

Registered specialties

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence NP-368A (ID)

Registry record

NPI
1275587180
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 May 2006
Record last updated
8 Jan 2013

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.