Search › Idaho › 363LF0000X
Vadim Pustynovich, FNP-C
NPI 1518507086 · on the registry since 2020
Practice
- Address
- 700 W Ironwood Dr Ste 120
Coeur D Alene, ID 83814 - Phone
- (208) 625-3640
- Fax
- (208) 625-3645
- Organisation at this address
- Element Dental Pllc
Ideal Family Dental
Kootenai Health, Inc.
Kootenai Health, Inc.
Interlake Pharmacy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 191
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- NJ, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-24
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