Individual
NICOLE M. HUTTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4949 S HILLSDALE AVE, MERIDIAN, ID 83642-7586
(208) 706-6457
(208) 706-6411
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78713
ID
Other
Enumeration date
03/04/2024
Last updated
04/23/2024
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