Susie A Ellenwood, LPN
NPI #1033208582 in Lapwai, Idaho
Provider Information
- NPI Number
- 1033208582
- Entity Type
- Individual
- Name
- Susie A Ellenwood, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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