Individual
NIKOLE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4154 E 100 N, RIGBY, ID 83442-5800
(208) 589-7975
Mailing address
4154 E 100 N, RIGBY, ID 83442-5800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
64048
ID
363LA2100X
Acute Care Nurse Practitioner
Primary
64048
ID
363LA2200X
Adult Health Nurse Practitioner
64048
ID
363LG0600X
Gerontology Nurse Practitioner
64048
ID
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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