Nicole Lynn Real
Nicole Lynn Real is a Licensed Practical Nurse in Mountain Home, Idaho. Licensed in Idaho. Registered with an NPI since 2023.
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
815 N 6th EMountain Home, ID 83647-2207
Phone: (208) 580-2001
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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 71011 (ID) |
|---|
Record details
| NPI number | 1508567694 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 15, 2023 |
| Last updated in NPPES | March 15, 2023 |
| Certification date | March 15, 2023 |
| Mailing address | 815 N 6th E, Mountain Home, ID 83647-2207 |
Other providers in Mountain Home
-
Randi Ortega, LPN
815 N 6th E, Mountain Home, ID 83647-2207 · (208) 580-2001