Richard Lee Mittelstedt, R.N.

NPI #1508920869 in Fort Hall, Idaho

Provider Information

NPI Number
1508920869
Entity Type
Individual
Name
Richard Lee Mittelstedt, R.N.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
R.N.
Enumeration Date
Dec 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
717 MISSION RD
State
Idaho
ZIP Code
83203-0717
Phone
(208) 238-5427

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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