MEDICARE: KHIALE NORA HARVARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1760753578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHIALE NORA HARVARD

Provider Business Mailing Address
First Line	:	1619 W ROSTON CT
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-4832
Country	:	US
Telephone Number	:	208-571-4018
Fax Number	:

Provider Business Practice Location Address
First Line	:	1619 W ROSTON CT
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-4832
Country	:	US
Telephone Number	:	208-571-4018
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2012
Last Update Date	:	10/16/2025

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Directions to “ KHIALE NORA HARVARD ” Practice Location

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