MRS. RAEMI DAWN NOLEVANKO FNP-C NPI 1063119212

NPI Information

  • NPI: 1063119212
  • Provider Name: MRS. RAEMI DAWN NOLEVANKO, FNP-C
  • Classification: Nurse Practitioner - 363LX0106X
  • Specialization: Occupational Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 801 POLE LINE RD W
    TWIN FALLS, ID
    ZIP 83301
  • Phone: (208) 814-1000

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NPI Details

MRS. Raemi Dawn Nolevanko, FNP-C is an occupational health nurse practitioner in Twin Falls, ID. MRS. Raemi Dawn Nolevanko, FNP-C NPI is 1063119212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

801 POLE LINE RD W
TWIN FALLS, ID
ZIP 83301-810
Phone: (208) 814-1000

The NPI 1063119212 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2023 and was last updated on 8/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LX0106XNurse PractitionerOccupational Health56430IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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