Individual
NICOLE MARIE PARQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9321 N GOVERNMENT WAY STE E, HAYDEN, ID 83835-8263
(208) 502-2744
(208) 635-0135
Mailing address
9321 N GOVERNMENT WAY STE E, HAYDEN, ID 83835-8263
(208) 502-2744
(208) 635-0135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
04/10/2020
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