NPI 1578950168

Trinidad Bridge, LPN

Practitioner Licensed Practical Nurse Caldwell, ID

Practice location

Address: 2909 S. 10th Avenue, Caldwell, ID 83605
Phone: (208) 454-2766
Mailing address: PO Box 245, Kuna, ID 83634-0245

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN-8693 (ID)

Other Licensed Practical Nurse providers in Idaho →

Registry record

NPI: 1578950168
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2015
Record last updated: 21 Apr 2015

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.