Individual provider · Type 1 NPI

Reatta Omoth, FNP-C

Family Nurse Practitioner · Twin Falls, ID

NPI number 1063256584 Active

Practice location

2550 Addison Ave E Ste E
Twin Falls, ID 83301-6748

Call (208) 814-7780 Map

Fax (208) 814-7746

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9861160 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1063256584

Reatta Omoth, FNP-C's National Provider Identifier is 1063256584, issued on Jun 20, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Twin Falls, ID. The record was last updated on Sep 9, 2024.