NPI 1336784081

Robin Amber Nettleton, NPC

Practitioner Family Nurse Practitioner Mountain Home, ID

Practice location

Address: 840 N 4th E, Mountain Home, ID 83647-2166
Phone: (208) 587-1850
Fax: (208) 587-1851
Mailing address: 7056 W Rocking Y Ln, Glenns Ferry, ID 83623-5029

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 63043 (ID)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1336784081
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2019
Record last updated: 16 Nov 2019

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.