IndividualActive
Raemi Nolevanko, FNP-C
NPI 1063119212 · Occupational Health Nurse Practitioner · Twin Falls, ID
Provider details
- NPI number
- 1063119212
- Entity type
- Individual
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 56430 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone: (208) 814-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2522 E 3810 N
Twin Falls, ID 83301-5549
Additional practice locations (1)
- 115 5th Ave WJerome, ID 83338-1824Phone: (208) 814-9840
Registry dates
- Enumerated
- 2023-02-08
- Last updated
- 2023-08-07
- Certified
- 2023-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.