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SUSIE A ELLENWOOD LPN
NPI 1033208582
Licensed Practical Nurse in Lapwai, ID

Active since October 12, 2006
111 BEVER GRADE, LAPWAI, ID 83540(208) 843-2271 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susie A Ellenwood Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSIE A ELLENWOOD LPN (NPI 1033208582) is an individual licensed practical nurse in Lapwai, Idaho, licensed in Idaho (PN-9235) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1033208582
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSUSIE A ELLENWOODCredential: LPN
Location Address111 BEVER GRADELapwai, ID 83540-0365
Mailing AddressPo Box 201Lapwai, ID 83540-0201 · (208) 843-9375
Phone(208) 843-2271
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033208582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in ID · PN-9235
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
111 BEVER GRADE, Lapwai, ID 83540
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMONA L FRASER RN N24954
Registered Nurse
111 BEVER GRADE
LAPWAI, ID 83540
Nez Perce County (208) 843-2271
TYLER COWART PHARMD
Pharmacist
111 BEVER GRADE
LAPWAI, ID 83540
Nez Perce County (208) 843-2271
MARY RILEY
Registered Nurse
111 BEVER GRADE
LAPWAI, ID 83540
Nez Perce County (208) 843-2271
MARY JANE MILES CDSII
Counselor (Addiction (Substance Use Disorder))
111 BEVER GRADE
LAPWAI, ID 83540
Nez Perce County (208) 843-2271
MS. LESLIE R SMITH RN
Registered Nurse
111 BEVER GRADE
LAPWAI, ID 83540
Nez Perce County (208) 843-2271
MS. CHARLOTTE J WATTERS
Counselor
111 BEVER GRADE
LAPWAI, ID 83540
Nez Perce County (208) 843-2271
DORA L AXTELL LCSW
Social Worker (Clinical)
111 BEVER GRADE
LAPWAI, ID 83540
Nez Perce County (208) 843-7244
MR. CONSTANCIO L CLETO MT
Technician, Pathology (Medical Laboratory)
111 BEVER GRADE
LAPWAI, ID 83540
Nez Perce County (208) 843-2271

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susie Ellenwood's NPI number?

The NPI number for Susie Ellenwood is 1033208582. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Susie Ellenwood located?

Susie Ellenwood practices at 111 Bever Grade, Lapwai, ID 83540. The listed phone number is (208) 843-2271.

What is Susie Ellenwood's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Susie Ellenwood was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.