Regina Marie Kendra
Regina Marie Kendra is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 2014, 12 years ago. Practices with Pain Management of North Idaho PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.
- Years since qualifying
- 12
- Licensed in
- ID, WA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
1686 W Riverstone DrCoeur D Alene, ID 83814-5779
Phone: (208) 762-0480
Fax: (866) 573-0853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence NP-1460A (ID) |
|---|---|
| Family Health Clinical Nurse Specialist | Taxonomy 364SF0001X · Licence AP60477652 (WA) |
Record details
| NPI number | 1790192284 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 16, 2014 |
| Last updated in NPPES | March 14, 2023 |
| Certification date | March 14, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Pain Management Of North Idaho Pllc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |