Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVITA KVISTA
ActiveEVITA KVISTA is a Gerontological Nurse Practitioner healthcare provider located in EAGLE, Idaho. NPI 1013594092 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · EAGLE, ID
Registration Details
- NPI Number
- 1013594092
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 25, 2021 (5.3453801928035 yrs)
- Last Updated
- Mar 25, 2021
- License
-
65119 (ID)
Practice Information
- Address
-
225 S LINDER RD APT B301EAGLE, ID, 836164426Browse ID providers · Browse ZIP 83616
- Phone
- 2084129622
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
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.