| Richard Lee Mittelstedt, RN | |
|
717 Mission Rd, Fort Hall, ID 83203-0717 | |
| (208) 238-5427 | |
| (208) 238-5427 |
| Full Name | Richard Lee Mittelstedt |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 717 Mission Rd, Fort Hall, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508920869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | N-32836 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Lee Mittelstedt, RN 717 Mission Road, Fort Hall, ID 83203 Ph: (208) 238-5427 | Richard Lee Mittelstedt, RN 717 Mission Rd, Fort Hall, ID 83203-0717 Ph: (208) 238-5427 |
Garth S Brown, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Rd, Fort Hall, ID 83203 Phone: 208-238-2400 Fax: 208-238-5462 | |
Joanne Fletcher, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Rd, Fort Hall, ID 83203 Phone: 208-238-5435 Fax: 208-238-5462 | |
Mrs. Deeanne M Marshall, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Mission Rd, Fort Hall, ID 83203 Phone: 208-238-5427 | |
Kevin Pendlebury, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Mission Rd, Fort Hall, ID 83203 Phone: 208-238-2400 Fax: 208-238-5462 | |
Ms. Stephanie Moss, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Rd, Fort Hall, ID 83203 Phone: 208-238-2400 Fax: 208-238-6292 | |
Mrs. Ashley L Ballensky, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Road, Fort Hall, ID 83203 Phone: 208-238-5423 Fax: 208-238-5465 |