NPI 1063363075

Heather a Kohoutek, FNP

Practitioner Family Nurse Practitioner Athol, ID

Practice location

Address: 8436 E Snowy Ln, Athol, ID 83801-8237
Phone: (208) 819-8329

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 2671996 (ID)

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Registry record

NPI: 1063363075
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2026
Record last updated: 5 Feb 2026

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.