SearchIdahoLicensed Practical Nurse

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