Individual provider · Type 1 NPI

Rosa Hickman, NP

Family Nurse Practitioner · Boise, ID

NPI number 1104688274 Active

Practice location

6051 W Emerald St
Boise, ID 83704-8969

Fax (208) 302-5155

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 403 S 11th St Ste 135, Boise, ID 83702-7157 · (208) 367-0700

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X78182 (ID)

Family Nurse Practitioner: Definition to come...

55 other providers at this address

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About NPI 1104688274

Rosa Hickman, NP's National Provider Identifier is 1104688274, issued on Jan 25, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Oct 10, 2025.