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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTI LYNN MALICOAT, LPN

Active Sole Proprietor

KRISTI LYNN MALICOAT, LPN is a Licensed Practical Nurse healthcare provider located in GRAND VIEW, Idaho. NPI 1013232834 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · GRAND VIEW, ID

Registration Details

NPI Number
1013232834
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2010 (16.215171625189 yrs)
Last Updated
May 9, 2011
Licenses
200930022LPN (OR)
PN-12009 (ID)
27036628A (IN)
LPN11423 (NV)
VN249377 (CA)
Sole Proprietor
Yes

Practice Information

Address
23220 RIVER RD
GRAND VIEW, ID, 836245009
Browse ID providers · Browse ZIP 83624
Phone
2088342860
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Licensed Practical Nurse
Additional Specialty
Licensed Practical Nurse
Additional Specialty
Licensed Practical Nurse
Additional Specialty
Licensed Vocational Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.