NICOLE REAL
Licensed Practical Nurse
Active
Individual
NPI: 1508567694
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 71011 (ID) |
Frequently Asked Questions
NPI 1508567694 is the National Provider Identifier for NICOLE REAL, a Licensed Practical Nurse provider located in Mountain Home, ID. This NPI was enumerated on March 15, 2023.
NICOLE REAL practices at 815 N 6TH E, Mountain Home, ID 83647.
Quick Facts
- NPI
- 1508567694
- Type
- Individual
- Enumerated
- Mar 15, 2023
- Last Updated
- Mar 15, 2023
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