IndividualActive
Linda Mikitish
NPI 1740787365 · Cardiac Rehabilitation Registered Nurse · Eagle, ID
Provider details
- NPI number
- 1740787365
- Entity type
- Individual
- Primary specialty
- Cardiac Rehabilitation Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 38314 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
858 W Quarter Dr
Eagle, ID 83616-2049
Phone: (208) 602-5933
Fax: (208) 706-7059
Approximate (ZIP-level) locationGet directions
Mailing address
858 W Quarter Dr
Eagle, ID 83616-2049
Registry dates
- Enumerated
- 2018-04-10
- Last updated
- 2018-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.