Individual
MICHELLE HARCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2114 VILLAGE PARK AVE STE 200, TWIN FALLS, ID 83301-4172
(208) 441-0767
(208) 441-0367
Mailing address
2114 VILLAGE PARK AVE STE 200, TWIN FALLS, ID 83301-4172
(208) 441-0767
(208) 441-0367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
42111
ID
363LF0000X
Family Nurse Practitioner
Primary
61016
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42111
REGISTERED NURSE
ID
01
—
61016
FAMILY NURSE PRACTITIONER
ID
Enumeration date
10/16/2018
Last updated
03/19/2025
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