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1821509183
TIFFANY EILEEN WELLS
LEWISTON, ID
NPI
1821509183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN198187)
Enumeration Date
2017-10-13
Last Update Date
2024-08-07
Business Address
TIFFANY EILEEN WELLS NP-C
415 6TH ST
LEWISTON, ID 83501-2434
Phone number: 208-750-7507
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Mailing Address
TIFFANY EILEEN WELLS NP-C
625 6TH AVE
LEWISTON, ID 83501-2424
Phone number: 208-750-7464
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