Individual
ROBIN AMBER NETTLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
840 N 4TH E, MOUNTAIN HOME, ID 83647-2166
(208) 587-1850
(208) 587-1851
Mailing address
7056 W ROCKING Y LN, GLENNS FERRY, ID 83623-5029
(218) 838-0972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
63043
ID
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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