Individual
NICOLETTE HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1951 BENCH RD, STE B, POCATELLO, ID 83201-2013
(208) 238-1000
(208) 238-0009
Mailing address
1951 BENCH RD, STE B, POCATELLO, ID 83201-2013
(208) 238-1000
(208) 238-0009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1706A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0216480
AANP
—
Enumeration date
02/23/2016
Last updated
02/23/2016
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