Nicole Lynn Real, - Licensed Practical Nurse in Mountain Home, ID

Nicole Lynn Real, is a Licensed Practical Nurse based in Mountain Home, Idaho. Nicole Lynn Real is licensed to practice in Idaho (license number 71011) and her current practice location is 815 N 6th E, Mountain Home, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 580-2001.

NPI number for Nicole Lynn Real is 1508567694 and her current mailing address is 815 N 6th E, Mountain Home, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508567694.

Contact Information

Nicole Lynn Real,
815 N 6th E,
Mountain Home, ID 83647-2207
(208) 580-2001
Not Available



Provider's Profile

Full NameNicole Lynn Real
GenderFemale
SpecialityLicensed Practical Nurse
Location815 N 6th E, Mountain Home, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508567694
  • Provider Enumeration Date: 03/15/2023
  • Last Update Date: 03/15/2023

Medical Identifiers

Medical identifiers for Nicole Lynn Real such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508567694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 71011 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Lynn Real is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Lynn Real,
815 N 6th E,
Mountain Home, ID 83647-2207

Ph: (208) 580-2001
Nicole Lynn Real,
815 N 6th E,
Mountain Home, ID 83647-2207

Ph: (208) 580-2001

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› Verified 7 days ago


Licensed Practical Nurse Nurses in Mountain Home, ID

Randi Ortega, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 815 N 6th E, Mountain Home, ID 83647
Phone: 208-580-2001    

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