Individual
MEGAN NICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10178 W CARLTON BAY DR, GARDEN CITY, ID 83714-5150
(208) 888-6886
Mailing address
455 S ACADEMY LN, EAGLE, ID 83616-7470
(208) 697-2439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56108
ID
Other
Enumeration date
03/14/2024
Last updated
03/12/2026
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