CHRISTOPHER ALAN ANTHONY NICHOLAS

EAGLE, ID
NPI1104427152
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  66285)
Enumeration Date2020-11-05
Last Update Date2023-01-18
Business Address
CHRISTOPHER ALAN ANTHONY NICHOLAS
3101 E STATE ST
EAGLE, ID 83616-6232
Phone number: 208-473-3100
Mailing Address
CHRISTOPHER ALAN ANTHONY NICHOLAS
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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