| Ms Ann Enderle, NP-C | |
|
1450 Aviation Dr Ste 100, Hailey, ID 83333-8785 | |
| (208) 788-3434 | |
| Not Available |
| Full Name | Ms Ann Enderle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1450 Aviation Dr Ste 100, Hailey, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588336028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 69666 (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Entity Name | St Lukes Clinic - Wood River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ann Enderle, NP-C 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Ms Ann Enderle, NP-C 1450 Aviation Dr Ste 100, Hailey, ID 83333-8785 Ph: (208) 788-3434 |
Amanda J Allaire, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Hailey, ID 83333 Phone: 208-727-8899 | |
Carol A Wade, R.N.,C.S.,F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 E Maple St, Suite A, Hailey, ID 83333 Phone: 208-788-3200 Fax: 208-788-3386 | |
Debbie M Garratt, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 706 S Main St, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 |