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Nicole Lynn Real
Licensed Practical Nurse in Mountain Home, Idaho
NPI 1508567694

Nicole Lynn Real is a Licensed Practical Nurse based in Mountain Home, ID. Nicole Lynn Real practices in Mountain Home, ID. The NPI Number for Nicole Lynn Real is 1508567694 and holds a License No. 71011 (Idaho).

The current practice location address for Nicole Lynn Real is 815 N 6Th E, Mountain Home, ID and can be reached out via phone at 208-580-2001.

Location: 815 N 6Th E, Mountain Home, ID, 83647-2207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508567694
Provider Name
Nicole Lynn Real
Credential
Provider Entity Type
Individual
Gender
Female
Address
815 N 6Th E, Mountain Home, ID, 83647-2207
Phone Number
208-580-2001
Fax Number
Provider Enumeration Date
03/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
815 N 6Th E
City
Mountain Home
State
Idaho
Zip
83647-2207
Phone Number
208-580-2001
Fax Number
person
Provider Business Mailing Address Details
Address
815 N 6Th E
City
Mountain Home
State
Idaho
Zip
83647-2207
Phone Number
208-580-2001
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
71011 (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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