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Nicole Willis, DC
Chiropractor in Meridian, Idaho
NPI 1093992539

Nicole Willis is a Chiropractor based in Meridian, ID. Nicole Willis practices in Meridian, ID and has the professional credentials of DC. The NPI Number for Nicole Willis is 1093992539 and holds a License No. CHIA-1268 (Idaho).

The current practice location address for Nicole Willis is 1570 E Heritage Park St, Meridian, ID and can be reached out via phone at 208-322-4114 and via fax at 208-322-4115.

Location: 1570 E Heritage Park St, Meridian, ID, 83646-6445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093992539
Provider Name
Nicole Willis
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1570 E Heritage Park St, Meridian, ID, 83646-6445
Phone Number
208-322-4114
Fax Number
208-322-4115
Provider Enumeration Date
01/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1370103 01 GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
1570 E Heritage Park St
City
Meridian
State
Idaho
Zip
83646-6445
Phone Number
208-322-4114
Fax Number
208-322-4115
person
Provider Business Mailing Address Details
Address
1570 E Heritage Park St
City
Meridian
State
Idaho
Zip
83646-6445
Phone Number
208-322-4114
Fax Number
208-322-4115
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-1268 (Idaho)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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