# NINA TITCHENAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447131917
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 2571997 | ID | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 60185 | ID | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | 2571997 | ID | — |
| 363LG0600X | Gerontology Nurse Practitioner | 61085 | ID | — |
| 363LP2300X | Primary Care Nurse Practitioner | 2571997 | ID | — |
| 363LP2300X | Primary Care Nurse Practitioner | 61085 | ID | — |

## Other

- **Enumeration date:** 09/10/2025
- **Last updated:** 06/18/2026