person
Christopher Alan Anthony Nicholas
Family Nurse Practitioner in Eagle, Idaho
NPI 1104427152

Christopher Alan Anthony Nicholas is a Family Nurse Practitioner based in Boise, ID and is specialized in Family. Christopher Alan Anthony Nicholas practices in Eagle, ID. The NPI Number for Christopher Alan Anthony Nicholas is 1104427152 and holds a License No. 66285 (Idaho).

The current practice location address for Christopher Alan Anthony Nicholas is 3101 E State St, Eagle, ID and can be reached out via phone at 208-473-3100.

Location: 3101 E State St, Eagle, ID, 83712-6241
person
Provider Profile Details
NPI Number
1104427152
Provider Name
Christopher Alan Anthony Nicholas
Credential
Provider Entity Type
Individual
Gender
Male
Address
3101 E State St, Eagle, ID, 83712-6241
Phone Number
208-473-3100
Fax Number
Provider Enumeration Date
11/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3101 E State St
City
State
Zip
83616-6232
Phone Number
208-473-3100
Fax Number
person
Provider Business Mailing Address Details
Address
3101 E State St
City
State
Zip
83616-6232
Phone Number
208-473-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
66285 (Idaho)
Definition
Definition to come...
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