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1720847551
MEGAN NICOLA
MERIDIAN, ID
NPI
1720847551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 56108)
Enumeration Date
2024-03-14
Last Update Date
2024-04-28
Business Address
MEGAN NICOLA FNP-C
2667 E GALA CT STE 110
MERIDIAN, ID 83642-2791
Phone number: 208-268-8851
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Mailing Address
MEGAN NICOLA FNP-C
455 S ACADEMY LN
EAGLE, ID 83616-7470
Phone number: 208-697-2439
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