IndividualActive
Jeanna Padilla, CPNP-PC
NPI 1134585763 · Pediatric Nurse Practitioner · Coeur D Alene, ID
Provider details
- NPI number
- 1134585763
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 61048 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7600 N Mineral Dr Ste 110
Coeur D Alene, ID 83815-7763
Phone: (208) 619-8250
Fax: (208) 981-9201
Approximate (ZIP-level) locationGet directions
Mailing address
1593 E Polston Ave
Post Falls, ID 83854-5326
Registry dates
- Enumerated
- 2016-01-12
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.