Susie A Ellenwood, LPN - Licensed Practical Nurse in Lapwai, ID

Susie A Ellenwood, LPN is a Licensed Practical Nurse based in Lapwai, Idaho. Susie A Ellenwood is licensed to practice in Idaho (license number PN-9235) and her current practice location is 111 Bever Grade, Lapwai, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 843-2271.

NPI number for Susie A Ellenwood is 1033208582 and her current mailing address is Po Box 201, Lapwai, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033208582.

Contact Information

Susie A Ellenwood, LPN
111 Bever Grade,
Lapwai, ID 83540-0365
(208) 843-2271
Not Available



Provider's Profile

Full NameSusie A Ellenwood
GenderFemale
SpecialityLicensed Practical Nurse
Location111 Bever Grade, Lapwai, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033208582
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Susie A Ellenwood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033208582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse PN-9235 (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. Susie A Ellenwood 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 AddressPractice 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

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Licensed Practical Nurse Nurses in Lapwai, ID

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

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