Individual
NICK CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3101 E STATE ST STE 1100, EAGLE, ID 83616-6232
(208) 473-3500
(208) 473-3510
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
70798
ID
Other
Enumeration date
08/15/2023
Last updated
11/13/2023
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