Individual
MOLLY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12080 W MCMILLAN RD, BOISE, ID 83713-2462
(208) 375-4955
(208) 375-5568
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
996162
ID
363A00000X
Physician Assistant
PA189595
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500756169
—
OR
Enumeration date
03/03/2017
Last updated
09/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us