Richard Mittelstedt, R.N

NPI 1508920869 · on the registry since 2006

Practice

Address: 717 Mission Rd
Fort Hall, ID 83203
Phone: (208) 238-5427
Fax: (208) 238-5427
Organisation at this address: Shoshone Bannock Tribes
Shoshone Bannock Tribes, Inc
Not-Tsoo Gah-Nee Indian Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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