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NICOLE LYNN REAL
NPI 1508567694
Licensed Practical Nurse in Mountain Home, ID

Active since March 15, 2023
815 N 6TH E, MOUNTAIN HOME, ID 83647(208) 580-2001 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Lynn Real NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LYNN REAL (NPI 1508567694) is an individual licensed practical nurse in Mountain Home, Idaho, licensed in Idaho (71011) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1508567694
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNICOLE LYNN REAL
Location Address815 N 6TH EMountain Home, ID 83647-2207
Mailing Address815 N 6th EMountain Home, ID 83647-2207 · (208) 580-2001
Phone(208) 580-2001
Sole ProprietorNo
Enumeration DateMarch 15, 2023
NPPES CertifiedMarch 15, 2023
✔ NPI 1508567694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in ID · 71011
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
815 N 6TH E, Mountain Home, ID 83647
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOISE VAMC
Clinic/Center (VA)
815 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (702) 341-3164
KENNETH TROY STEVENS DDS
Dentist (General Practice)
815 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-7949
DENTAL CENTER P.L.L.C.
Dentist (General Practice)
815 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-7949
ANNA MARIE GARVIN RN
Registered Nurse (General Practice)
815 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 580-2001
BELINDA ANN CHILDERS BSN, RN, CCRN, MA
Registered Nurse
815 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 580-2001
RANDI ORTEGA LPN
Licensed Practical Nurse
815 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 580-2001
GAIL BRENT ADAMS DMD
Dentist (General Practice)
815 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-7949
KATIE A OWENS
Registered Nurse (General Practice)
815 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 580-2001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Real's NPI number?

The NPI number for Nicole Real is 1508567694. It was assigned to this individual provider in the NPPES registry on March 15, 2023.

Where is Nicole Real located?

Nicole Real practices at 815 N 6th E, Mountain Home, ID 83647. The listed phone number is (208) 580-2001.

What is Nicole Real's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nicole Real was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.