ANDENA JEWEL HIBBARD

LEWISTON, ID
NPI1922275379
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: ID  565A)
Enumeration Date2008-05-14
Last Update Date2008-05-14
Business Address
ANDENA JEWEL HIBBARD APRN
500 8TH AVE SGC 42
LEWISTON, ID 83501-2691
Phone number: 208-792-2251
Mailing Address
ANDENA JEWEL HIBBARD APRN
500 8TH AVE SGC 42
LEWISTON, ID 83501-2691
Phone number: 208-792-2251