Omoth, Reatta
Omoth, Reatta is an individual health care provider with primary practice located at 2550 Addison Ave E Ste E , Twin Falls ID 83301-6748. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Omoth, Reatta can be contacted via phone (208) 814-7780.Contact Information
Primary practice address
2550 Addison Ave E Ste E
Twin Falls ID 83301-6748
Phone: (208) 814-7780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9861160 | Idaho |
Profile Details
| NPI number | 1063256584 |
|---|---|
| LBN Legal business name | Omoth, Reatta |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2024 |
| Last updated | Jul 8th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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