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Contact Information

NICOLE W PELLY
2003 KOOTENAI HEALTH WAY
COEUR D'ALENE, ID83814-6051
 Phone: 208-625-5085
 Fax: 208-625-5731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207LH0002X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for NICOLE W PELLY · (Female)

NPI Number 1972684223
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2006
Last updated 10/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-13281
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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