Individual
KYLIE LINN NUXOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
300 E JEFFERSON ST, BOISE, ID 83712-6246
(208) 322-1680
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7671687
ID
Other
Enumeration date
11/12/2025
Last updated
12/03/2025
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