NICOLE L. AMIDEO

BOISE, ID
NPI1700813714
Former NameNICOLE M. LENZI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-545)
Additional Taxonomies363A00000X Physician Assistant
(Licence: ID  PA545)
Enumeration Date2006-06-26
Last Update Date2022-03-23
Business Address
NICOLE L. AMIDEO PA-C
500 W. FORT ST. CLC
BOISE, ID 83702
Phone number: 208-422-1000
Mailing Address
NICOLE L. AMIDEO PA-C
500 W. FORT ST. CLC
BOISE, ID 83702
Phone number: 208-422-1000