ANDREA MARIE GENTRY LPN
NPI 1104569383
Licensed Practical Nurse in Caldwell, ID

Q: What is Andrea Gentry's NPI number?

The NPI number for Andrea Gentry is 1104569383. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Q: What is Andrea Gentry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Gentry was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 15, 2022

4521 THOMAS JEFFERSON ST, CALDWELL, ID 83605(208) 454-4820(208) 454-4859 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrea Marie Gentry Lpn NPPES

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

ANDREA MARIE GENTRY LPN (NPI 1104569383) is an individual licensed practical nurse in Caldwell, Idaho, licensed in Idaho (PN-13375) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1104569383

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameANDREA MARIE GENTRYCredential: LPN

Location Address4521 THOMAS JEFFERSON STCaldwell, ID 83605-5100

Mailing Address4521 Thomas Jefferson StCaldwell, ID 83605-5100 · (208) 454-4820 · Fax (208) 454-4859

Phone(208) 454-4820

Fax(208) 454-4859

Sole ProprietorNo

Enumeration DateApril 15, 2022

NPPES CertifiedApril 15, 2022

✔ NPI 1104569383 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-13375

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.

4521 THOMAS JEFFERSON ST, Caldwell, ID 83605

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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.

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