Search › Idaho › 224Z00000X
Jean Vergilio
NPI 1033547286 · on the registry since 2013
Practice
- Address
- 210 W Lacrosse Ave
Coeur D Alene, ID 83814 - Phone
- (208) 664-6520
- Organisation at this address
- Silver Ridge Care, Llc
Mason Park Healthcare, Inc.
Fmg West Lacrosse Avenue Idaho Llc
Lacrosse Health- Coeur D'Alene, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Also registered as
- 224Z00000X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho