HOLLY BETH PENA

COEUR D ALENE, ID
NPI1548253867
Former NameHOLLY MILES-PENA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP-690A)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WA  AP30007003)
Enumeration Date2005-08-23
Last Update Date2024-05-15
Business Address
HOLLY BETH PENA ARNP
1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814-2527
Phone number: 208-625-4595
Mailing Address
HOLLY BETH PENA ARNP
1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814-2527
Phone number: 208-625-4595