Christopher Alan Anthony Nicholas

NPI #1104427152 in Eagle, Idaho

Provider Information

NPI Number
1104427152
Entity Type
Individual
Name
Christopher Alan Anthony Nicholas
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 5, 2020
Last Updated
Jan 18, 2023

Practice Location

Address
3101 E STATE ST
City
Eagle
State
Idaho
ZIP Code
83616-6232
Phone
(208) 473-3100

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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