JENNIFER THERESE ANDERSON

LEWISTON, ID
NPI1790400992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  72977)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WA  RN00124469)
Enumeration Date2022-10-10
Last Update Date2022-10-10
Business Address
JENNIFER THERESE ANDERSON
1203 IDAHO ST
LEWISTON, ID 83501-1940
Phone number: 509-444-8200
Mailing Address
JENNIFER THERESE ANDERSON
611 N IRON BRIDGE WAY
SPOKANE, WA 99202-4932
Phone number: 509-444-8200