Individual provider · Type 1 NPI

Christopher Alan Anthony Nicholas

Family Nurse Practitioner · Eagle, ID

NPI number 1104427152 Active

Practice location

3101 E State St
Eagle, ID 83616-6232

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 1075 N Curtis Rd Ste 100, Boise, ID 83706-1348 · (208) 377-5166

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X66285 (ID)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1104427152

Christopher Alan Anthony Nicholas's National Provider Identifier is 1104427152, issued on Nov 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Eagle, ID. The record was last updated on Jan 18, 2023.