SearchIdaho101YA0400X

Nava Reneda, CADC

NPI 1821252636 · on the registry since 2008

Practice

Address
East Agency Rd
Fort Hall, ID 83203
Phone
(208) 238-2400
Fax
(208) 238-5462

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-07-11

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