IndividualActive
Kayla Stevenson, RN
NPI 1093569089 · Neonatal Intensive Care Registered Nurse · Rexburg, ID
Provider details
- NPI number
- 1093569089
- Entity type
- Individual
- Primary specialty
- Neonatal Intensive Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 73817 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
450 E Main St
Rexburg, ID 83440-2048
Phone: (208) 359-6900
Approximate (ZIP-level) locationGet directions
Mailing address
1135 Country Rd
Sugar City, ID 83448-5048
Registry dates
- Enumerated
- 2024-04-16
- Last updated
- 2024-04-16
- Certified
- 2024-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.