Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE LYNN REAL
ActiveNICOLE LYNN REAL is a Licensed Practical Nurse healthcare provider located in MOUNTAIN HOME, Idaho. NPI 1508567694 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · MOUNTAIN HOME, ID
Registration Details
- NPI Number
- 1508567694
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2023 (3.3776192502078 yrs)
- Last Updated
- Mar 15, 2023
- License
-
71011 (ID)
Practice Information
- Address
-
815 N 6TH EMOUNTAIN HOME, ID, 836472207Browse ID providers · Browse ZIP 83647
- Phone
- 2085802001
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in MOUNTAIN HOME, ID
| Name | Credential | NPI |
|---|---|---|
| RANDI ORTEGA | LPN | 1679191241 |
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.