Provider Demographics
NPI:1972944866
Name:LOVE, DENISE CHRISTINE (ARNP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:CHRISTINE
Last Name:LOVE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:CHRISTINE
Other - Last Name:REACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1686 W RIVERSTONE DR
Mailing Address - Street 2:STE 1
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-5779
Mailing Address - Country:US
Mailing Address - Phone:208-765-4807
Mailing Address - Fax:208-765-2903
Practice Address - Street 1:1686 W RIVERSTONE DR
Practice Address - Street 2:STE 1
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-5779
Practice Address - Country:US
Practice Address - Phone:208-765-4807
Practice Address - Fax:208-765-2903
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60353180363LP2300X
IDNP-1576A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care