Nicole Childers

NPI #1023985132 in Boise, Idaho

Provider Information

NPI Number: 1023985132
Entity Type: Individual
Name: Nicole Childers
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Oct 22, 2025
Last Updated: Oct 22, 2025

Practice Location

Address: 4696 W OVERLAND RD STE 182
City: Boise
State: Idaho
ZIP Code: 83705-2878
Phone: (208) 421-6612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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