Individual provider · NPI-1

Karen Cloudt, RN

Registered Nurse, Diabetes Educator · Boise, ID

NPI number1790909216
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1790909216
Entity type
Individual (NPI-1)
Name
Karen Cloudt
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Apr 13, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes Educator17233ORYes

Practice location

1226 W River St
Boise, ID 83702-7049

Phone 208-331-1155 · Fax 208-383-0190

Mailing address

2317 Tracy St
Baker City, OR 97814-4139

Phone 541-519-0700

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