Individual provider · Type 1 NPI

Richard Lee Mittelstedt, R.N.

Registered Nurse · Fort Hall, ID

NPI number 1508920869 Active

Practice location

717 Mission Rd
Fort Hall, ID 83203-0717

Fax (208) 238-5427

Mailing address

717 Mission Road
Fort Hall, ID 83203

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XN-32836 (ID)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1508920869

Richard Lee Mittelstedt, R.N.'s National Provider Identifier is 1508920869, issued on Dec 21, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Hall, ID. The record was last updated on Jul 8, 2007.