MRS. Carla J Gentry, NP

NPI #1396728416 in Hayden, Idaho

Provider Information

NPI Number
1396728416
Entity Type
Individual
Name
MRS. Carla J Gentry, NP
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Nov 22, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
8181 CORNERSTONE DR
City
Hayden
State
Idaho
ZIP Code
83835
Phone
(208) 772-0785

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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