Individual
NICOLE ANN ELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11177 W BRETT DR, NAMPA, ID 83686-6314
(208) 870-5870
Mailing address
11177 W BRETT DR, NAMPA, ID 83686-6314
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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