Individual
MICHAELINA S PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
150 SHOUP AVE, IDAHO FALLS, ID 83402-3657
(208) 528-5719
(208) 528-5747
Mailing address
150 SHOUP AVE, IDAHO FALLS, ID 83402-3657
(208) 528-5719
(208) 528-5747
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
45905
ID
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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