Individual provider · NPI-1
Michaelina S Page, RN
Registered Nurse, Psych/Mental Health, Adult · Idaho Falls, ID
NPI number1639733256
StatusActive
Last updated in NPPESApr 29, 2019
Details
- NPI
- 1639733256
- Entity type
- Individual (NPI-1)
- Name
- Michaelina S Page
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2019
- Last updated
- Apr 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 45905 | ID | Yes |
Other names
- Michaelina Forshee (Former Name)
Practice location
150 Shoup AveIdaho Falls, ID 83402-3657
Phone 208-528-5719 · Fax 208-528-5747
Mailing address
150 Shoup AveIdaho Falls, ID 83402-3657
Phone 208-528-5719 · Fax 208-528-5747
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