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Katrina P Mittleider, PN
Licensed Practical Nurse in Boise, Idaho
NPI 1487379442

Katrina P Mittleider is a Licensed Practical Nurse based in Boise, ID. Katrina P Mittleider practices in Boise, ID and has the professional credentials of PN. The NPI Number for Katrina P Mittleider is 1487379442 and holds a License No. 68740 (Idaho).

The current practice location address for Katrina P Mittleider is 500 W Fort St, Boise, ID and can be reached out via phone at 208-982-8732.

Location: 500 W Fort St, Boise, ID, 83702-4501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487379442
Provider Name
Katrina P Mittleider
Credential
PN
Provider Entity Type
Individual
Gender
Female
Address
500 W Fort St, Boise, ID, 83702-4501
Phone Number
208-982-8732
Fax Number
Provider Enumeration Date
10/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 W Fort St
City
Boise
State
Idaho
Zip
83702-4501
Phone Number
208-982-8732
Fax Number
person
Provider Business Mailing Address Details
Address
500 W Fort St
City
Boise
State
Idaho
Zip
83702-4501
Phone Number
208-982-8732
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
68740 (Idaho)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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