Individual provider · Type 1 NPI
Roxanne Marie Nichols, NP
Nurse Practitioner · Boise, ID
Practice location
190 E Bannock St
Boise, ID 83712-6241
Fax (208) 385-4088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | N-34971 (ID) |
| Nurse Practitioner Primary | 363L00000X | 55420 (ID) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1497211486
Roxanne Marie Nichols, NP's National Provider Identifier is 1497211486, issued on Feb 14, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on May 16, 2025.