Individual
MR. NICHOLAS A. HUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
510 N 2ND ST, SUITE 103, BOISE, ID 83702-6077
(208) 381-4700
(208) 381-4977
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-901
ID
Other
Enumeration date
04/07/2011
Last updated
10/06/2012
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