Katrina P Mittleider, PN
Katrina P Mittleider, PN is a Licensed Practical Nurse in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2022
Practice location Address checks out
500 W Fort StBoise, ID 83702-4501
Phone: (208) 982-8732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 68740 (ID) |
|---|
Record details
| NPI number | 1487379442 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PN |
| Sole proprietor | Yes |
| NPI enumerated | October 11, 2022 |
| Last updated in NPPES | October 11, 2022 |
| Certification date | October 11, 2022 |
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