Vanessa Rachelle Albert, NP-C
Individual provider Active NPI Family Nurse Practitioner · Coeur D Alene, ID
NPI 1801548698 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1801548698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 68965 (ID)
- Practice address
- 1090 W Park PL
Coeur D Alene, ID 83814-2785 - Phone
- (208) 215-2005
- Fax
- (844) 807-3782
- NPI assigned
- Jan 22, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68965 | ID | MD | Family Nurse Practitioner |
| AP61188013 | WA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 68965 | ID | Yes |
| Family Nurse Practitioner | 363LF0000X | AP61188013 | WA |
Addresses
Primary practice location
1090 W Park PL
Coeur D Alene, ID 83814-2785
Mailing address
PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299
Other providers in Coeur D Alene, ID
- Ahc Home Health of Coeur D Alene LLC
- Ahc of Coeur D Alene LLC
- Ahhpc Corp
- Gregory W Aiman
- Albert Crook, DO
- Sonja Marie Alberti
- Kelli Alcantara
- Tracey L Alcorn
- Mark Alderink
- Benjamin Aldrich
All providers in Coeur D Alene, ID · Family Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.