ROSA HICKMAN

BOISE, ID
NPI1104688274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  78182)
Enumeration Date2024-01-25
Last Update Date2025-10-10
Business Address
ROSA HICKMAN NP
6051 W EMERALD ST
BOISE, ID 83704-8969
Phone number: 208-302-5150
Mailing Address
ROSA HICKMAN NP
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170