IndividualActive
Theresa Whitlock-Wild
NPI 1932755345 · Home Health Aide · Coeur D Alene, ID
Provider details
- NPI number
- 1932755345
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
2678 W Sorbonne Dr
Coeur D Alene, ID 83815-6044
Phone: (208) 625-0467
Approximate (ZIP-level) locationGet directions
Mailing address
2678 W Sorbonne Dr
Coeur D Alene, ID 83815-6044
Registry dates
- Enumerated
- 2019-08-12
- Last updated
- 2019-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.