NPI 1164814844

Nicole Hess

Practitioner Specialist Rexburg, ID

Practice location

Address: 32 Carlson Ave, Rexburg, ID 83440-1914
Phone: (208) 557-3516
Mailing address: 4385 E 278 N, Rigby, ID 83442-5987

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MASG-2318 (ID)

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Registry record

NPI: 1164814844
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2015
Record last updated: 4 Mar 2015

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.