Individual
NICOLE MARIE EGGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1560 N CRESTMONT DR STE A, MERIDIAN, ID 83642-2178
(208) 650-4888
(208) 650-4892
Mailing address
1560 N CRESTMONT DR STE A, MERIDIAN, ID 83642-2178
(208) 650-4888
(208) 650-4892
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7171145
ID
363LF0000X
Family Nurse Practitioner
Primary
95023380
CA
Other
Enumeration date
01/20/2023
Last updated
02/17/2026
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