Individual
NICOLE IVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 S MIDDLETON RD, NAMPA, ID 83651
(208) 505-2800
(208) 505-2801
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2638
ID
Other
Enumeration date
06/15/2022
Last updated
01/27/2026
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