Individual provider · Type 1 NPI

Nicole Lynn Real

Licensed Practical Nurse · Mountain Home, ID

NPI number 1508567694 Active

Practice location

815 N 6th E
Mountain Home, ID 83647-2207

Call (208) 580-2001 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X71011 (ID)

Licensed Practical Nurse: 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.

10 other providers at this address

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About NPI 1508567694

Nicole Lynn Real's National Provider Identifier is 1508567694, issued on Mar 15, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Mountain Home, ID. The record was last updated on Mar 15, 2023.