Individual
JOHN M NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 381-2267
(208) 381-4314
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5111807-1204
UT
207V00000X
Obstetrics & Gynecology Physician
511807-1204
UT
207V00000X
Obstetrics & Gynecology Physician
Primary
6371542
ID
Other
Enumeration date
01/16/2006
Last updated
02/18/2025
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