NPI 1932985439

Candise Lee Nomellini

Practitioner Adult Care Home Facility Nampa, ID

Practice location

Address: 7 N State St, Nampa, ID 83651-2263
Phone: (714) 319-2235

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence CFH-9842 (ID)

Other Custodial Care Facility providers in Idaho →

Registry record

NPI: 1932985439
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2023
Record last updated: 31 Aug 2023

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.