NPI 1932755345

Theresa Whitlock-Wild

Practitioner Home Health Aide Coeur D Alene, ID

Practice location

Address: 2678 W Sorbonne Dr, Coeur D Alene, ID 83815-6044
Phone: (208) 625-0467

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in Idaho →

Registry record

NPI: 1932755345
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2019
Record last updated: 12 Aug 2019

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.