Individual
NINA TITCHENAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16835 CHAMBERS WAY, CALDWELL, ID 83607-5518
(208) 971-5035
Mailing address
16835 CHAMBERS WAY, CALDWELL, ID 83607-5518
(208) 971-5035
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
60185
ID
363LG0600X
Gerontology Nurse Practitioner
61085
ID
363LP2300X
Primary Care Nurse Practitioner
61085
ID
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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