Most Relevant Information
Provider Data
| NPI Number: | 1003248113 |
| Provider Name: | NICOLE M ENGLEDOW ARPN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | NP-1307A |
Most Important Dates
| Enumeration Date: | 07/31/2013 |
| Last Updated: | 02/20/2024 |
Provider Practice Location
500 8TH AVE
LEWISTON
ID
835012691
Practice Location Phone/Fax
| Phone: | 2087922685 |
| Fax: | 2087922882 |
Provider Mailing Location
500 8TH AVE
LEWISTON
ID
835012691
Provider Mailing Phone/Fax
| Phone: | 2087922685 |
| Fax: |