| Susie A Ellenwood, LPN | |
|
111 Bever Grade, Lapwai, ID 83540-0365 | |
| (208) 843-2271 | |
| Not Available |
| Full Name | Susie A Ellenwood |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 111 Bever Grade, Lapwai, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033208582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN-9235 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susie A Ellenwood, LPN Po Box 201, Lapwai, ID 83540-0201 Ph: (208) 843-9375 | Susie A Ellenwood, LPN 111 Bever Grade, Lapwai, ID 83540-0365 Ph: (208) 843-2271 |
Sabrina Gail Morton, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Bever Grade, Lapwai, ID 83540 Phone: 208-843-2271 Fax: 208-843-2658 | |
Mrs. Marie Jeanette Cooper, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Bever Grade, Lapwai, ID 83540 Phone: 208-843-7221 | |
Mrs. Linda Mae Mullan, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Bever Grade, Lapwai, ID 83540 Phone: 208-843-2271 Fax: 208-843-2658 | |
Sally Ann Scheeval, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Bever Grade, Lapwai, ID 83540 Phone: 208-843-2271 Fax: 208-843-2658 |