Caitlinn Kuuipo Tanaka, LPN is a
Licensed Practical Nurse based in Chubbuck, Idaho. Caitlinn Kuuipo Tanaka is licensed to practice in Idaho (license number PN-46661) and her current practice location is
4835 Trent St, Chubbuck, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 241-6815.
NPI number for Caitlinn Kuuipo Tanaka is 1841712049 and her current mailing address is 4835 Trent St, Chubbuck, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841712049.
Provider's Profile
| Full Name | Caitlinn Kuuipo Tanaka |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 4835 Trent St, Chubbuck, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841712049
- Provider Enumeration Date: 07/10/2017
- Last Update Date: 07/10/2017
Medical Identifiers
Medical identifiers for Caitlinn Kuuipo Tanaka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841712049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | PN-46661 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caitlinn Kuuipo Tanaka is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Caitlinn Kuuipo Tanaka, LPN
4835 Trent St,
Chubbuck, ID 83202-2955
Ph: (208) 241-6815 | Caitlinn Kuuipo Tanaka, LPN
4835 Trent St,
Chubbuck, ID 83202-2955
Ph: (208) 241-6815 |
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