Individual provider · Type 1 NPI
Michelle L. Hicks, NP
Adult Health Nurse Practitioner · Boise, ID
NPI number
1508973991
Active
Practice location
600 N Robbins Rd, Suite 100
Boise, ID 83702-4566
Fax (208) 489-4300
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | NP-641A (ID) |
| Adult Health Nurse Practitioner | 363LA2200X | 6541979-4405 (UT) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1508973991
Michelle L. Hicks, NP's National Provider Identifier is 1508973991, issued on Aug 23, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boise, ID. The record was last updated on Apr 4, 2011.