Individual provider · Type 1 NPI

Nicole K. Whiting

Student in an Organized Health Care Education/Training Program · Eagle, ID

NPI number 1174358956 Active

Practice location

1065 E Winding Creek Dr Ste 250
Eagle, ID 83616-7246

Call (208) 805-2324 Map

Mailing address

1047 Schultz Rd
Moscow, ID 83843-8120

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XPSB94028303 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XSE-203972 (ID)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174358956

Nicole K. Whiting's National Provider Identifier is 1174358956, issued on Sep 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eagle, ID. The record was last updated on Sep 3, 2024.