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Katie Elizabeth Nichols, PA-C
Surgical Physician Assistant in Nampa, Idaho
NPI 1700447141

Katie Elizabeth Nichols is a Surgical Physician Assistant based in Boise, ID and is specialized in Surgical. Katie Elizabeth Nichols practices in Nampa, ID and has the professional credentials of PA-C. The NPI Number for Katie Elizabeth Nichols is 1700447141 and holds a License No. (Idaho).

The current practice location address for Katie Elizabeth Nichols is 4400 E Flamingo Ave Ste 200, Nampa, ID and can be reached out via phone at 208-302-2700 and via fax at 208-367-2725. You can also correspond with Katie Elizabeth Nichols through the mailing address at PO BOX 190930, BOISE, ID - 83719-0930 (mailing address contact number: 208-367-5170).

Location: 4400 E Flamingo Ave Ste 200, Nampa, ID, 83719-0930
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Provider Profile Details
NPI Number
1700447141
Provider Name
Katie Elizabeth Nichols
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4400 E Flamingo Ave Ste 200, Nampa, ID, 83719-0930
Phone Number
208-302-2700
Fax Number
208-367-2725
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103724800 05 FL
institution
Provider Business Practice Location Address Details
Address
4400 E Flamingo Ave Ste 200
City
State
Zip
83687-9203
Phone Number
208-302-2700
Fax Number
208-367-2725
person
Provider Business Mailing Address Details
Address
4400 E Flamingo Ave Ste 200
City
State
Zip
83687-9203
Phone Number
208-302-2700
Fax Number
208-367-2725
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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