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Nikola Charleen Radlach-barnack
Student in an Organized Health Care Education/Training Program in Pocatello, Idaho
NPI 1598460099

Nikola Charleen Radlach-barnack is a Student in an Organized Health Care Education/Training Program based in Pocatello, ID. Nikola Charleen Radlach-barnack practices in Pocatello, ID. The NPI Number for Nikola Charleen Radlach-barnack is 1598460099 and holds a License No. 202740 (Idaho).

The current practice location address for Nikola Charleen Radlach-barnack is 921 S 8Th Ave Stop 8253, Pocatello, ID and can be reached out via phone at 208-282-4726.

Location: 921 S 8Th Ave Stop 8253, Pocatello, ID, 83209-0002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598460099
Provider Name
Nikola Charleen Radlach-barnack
Credential
Provider Entity Type
Individual
Gender
Female
Address
921 S 8Th Ave Stop 8253, Pocatello, ID, 83209-0002
Phone Number
208-282-4726
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
921 S 8Th Ave Stop 8253
City
Pocatello
State
Idaho
Zip
83209-0002
Phone Number
208-282-4726
Fax Number
person
Provider Business Mailing Address Details
Address
921 S 8Th Ave Stop 8253
City
Pocatello
State
Idaho
Zip
83209-0002
Phone Number
208-282-4726
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
()
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
202740 (Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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