Search › Idaho › 163WC3500X
Linda Mikitish
NPI 1740787365 · on the registry since 2018
Practice
- Address
- 858 W Quarter Dr
Eagle, ID 83616 - Phone
- (208) 602-5933
- Fax
- (208) 706-7059
Registry record
- Primary taxonomy
- 163WC3500X
163WC3500X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-10
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