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Nicole Real
NPI 1508567694 · on the registry since 2023
Practice
- Address
- 815 N 6th E
Mountain Home, ID 83647 - Phone
- (208) 580-2001
- Organisation at this address
- Boise Vamc
Dental Center P.L.L.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-15
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