KRISTA TICKEMYER, FNP

Nurse Practitioner

Active Individual
NPI: 1114393618

Practice Address

1919 LINCOLN WAY STE 415
Coeur D Alene, ID 83814

Phone: (208) 625-4595

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No N-35924 (ID)
Nurse Practitioner - Family 363LF0000X No NP-1596A (ID)
Nurse Practitioner 363L00000X Yes N-40239 (ID)

Frequently Asked Questions

NPI 1114393618 is the National Provider Identifier for KRISTA TICKEMYER, FNP, a Nurse Practitioner provider located in Coeur D Alene, ID. This NPI was enumerated on August 19, 2015.
KRISTA TICKEMYER, FNP practices at 1919 LINCOLN WAY STE 415, Coeur D Alene, ID 83814.

Quick Facts

NPI
1114393618
Type
Individual
Enumerated
Aug 19, 2015
Last Updated
Jul 25, 2025

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