Whalio Doctors

NPI 1013232834

Kristi Lynn Malicoat, LPN

Practitioner Licensed Practical Nurse Grand View, ID

Practice location

Address
23220 River Rd, Grand View, ID 83624-5009
Phone
(208) 834-2860
Mailing address
PO Box 632, Grand View, ID 83624-0632

Registered specialties (5)

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence PN-12009 (ID)
Licensed Practical Nurse
Nursing Service Providers Taxonomy 164W00000X Licence 200930022LPN (OR)
Licensed Practical Nurse
Nursing Service Providers Taxonomy 164W00000X Licence 27036628A (IN)
Licensed Practical Nurse
Nursing Service Providers Taxonomy 164W00000X Licence LPN11423 (NV)
Licensed Vocational Nurse
Nursing Service Providers Taxonomy 164X00000X Licence VN249377 (CA)

Registry record

NPI
1013232834
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Apr 2010
Record last updated
9 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.