Search › Idaho › 207P00000X
Jennifer Raae-Nielsen, MD
NPI 1023671062 · on the registry since 2019
Practice
- Address
- 1501 Hiland Ave
Burley, ID 83318 - Phone
- (516) 593-1380
- Fax
- (516) 320-8983
- Organisation at this address
- Rnba Llc
Medical Lab Service
Anesthesia West, Pa
Wayne H Blauer Md Pa
Ihc Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 68
Additional practice sites
- 11234 Anderson St, Loma Linda, CA
- 2003 Kootenai Health Way, Coeur D Alene, ID
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
207P00000X
390200000X - Licence states on file
- CA, ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho