IndividualActive
Michelle Poelstra
NPI 1508716283 · General Practice Registered Nurse · Ponderay, ID
Provider details
- NPI number
- 1508716283
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1271146 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
30410 Highway 200
Ponderay, ID 83852-9601
Phone: (208) 263-3211
Approximate (ZIP-level) locationGet directions
Mailing address
26 Lula Ct
Sandpoint, ID 83864-2326
Registry dates
- Enumerated
- 2026-02-02
- Last updated
- 2026-02-02
- Certified
- 2026-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.