NICOLE BLISS

NAMPA, ID
NPI1659001113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2638)
Enumeration Date2022-06-15
Last Update Date2023-11-15
Business Address
NICOLE BLISS
85 S MIDDLETON RD
NAMPA, ID 83651
Phone number: 208-505-2800
Mailing Address
NICOLE BLISS
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: