SearchIdahoNurse Practitioner

Krista Tickemyer, FNP

NPI 1114393618 · on the registry since 2015

Practice

Address
1919 Lincoln Way Ste 415
Coeur D Alene, ID 83814
Phone
(208) 625-4595
Fax
(208) 625-4596
Clinicians at this address
63

Additional practice sites

  • 1090 W. Park Place, Coeur D'Alene, ID

Registry record

Primary taxonomy
Nurse Practitioner
363L00000X
Also registered as
Registered Nurse
Family Nurse Practitioner
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-25

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