Individual
MICHAEL A NIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4400 E FLAMINGO AVE STE 200, NAMPA, ID 83687-1128
(208) 302-2700
(208) 302-2725
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4561673
ID
208600000X
Surgery Physician
5101012308
MI
208600000X
Surgery Physician
DO228162
OR
Other
Enumeration date
07/13/2006
Last updated
03/24/2026
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