DENNY BORDEAUX (NPI# 1235517079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235517079 |
Entity Type | Individual |
Full Name | DENNY BORDEAUX |
Credential | RN, PARAMEDIC |
Practice Address |
7294 Downing Lane Coeur D Alene ID 83815 |
Practice Telephone | 2084168324 |
Mailing Telephone | 2084168324 |
Enumeration Date | 2015-05-13 |
Last Update Date | 2015-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 146L00000X | Emergency Medical Technician, Paramedic | 130546 | OR | Emergency Medical Service Providers |
N | 146L00000X | Emergency Medical Technician, Paramedic | MED-PARA-LIC-333 | MT | Emergency Medical Service Providers |
N | 146L00000X | Emergency Medical Technician, Paramedic | 37139 | ID | Emergency Medical Service Providers |
N | 163WF0300X |
Registered Nurse Specialization: Flight |
NUR-RN-LIC-72952 | MT | Nursing Service Providers |
Y | 163WF0300X |
Registered Nurse Specialization: Flight |
N-47481 | ID | Nursing Service Providers |
N | 163WF0300X |
Registered Nurse Specialization: Flight |
201140887R | OR | Nursing Service Providers |
N | 163WF0300X |
Registered Nurse Specialization: Flight |
RN60455585 | WA | Nursing Service Providers |
Street Address |
7294 DOWNING LANE |
City | COEUR D ALENE |
State | ID |
Zip Code | 83815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
1023255437 | Billie Jo Davis | Counselor | 21 Ironwood Dr., Suite D Pmd 106, Coeur D Alene, ID 83815 | 2009-01-08 |
Find all providers in zip 83815 |
Taxonomy Code | 163WF0300X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Flight |
Definition to come... |
City | COEUR D ALENE |
Zip Code | 83815 |
Please comment or provide details below to improve the information on DENNY BORDEAUX.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.