Nichols, Katie Elizabeth

Nichols, Katie Elizabeth is an individual health care provider with primary practice located at 4400 E Flamingo Ave Ste 200 , Nampa ID 83687-9203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Nichols, Katie Elizabeth can be contacted via phone (208) 302-2700.

Contact Information

Primary practice address
4400 E Flamingo Ave Ste 200 Nampa ID 83687-9203
Phone: (208) 302-2700
Fax: (208) 367-2725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9112309 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-1889 Idaho

Profile Details

NPI number 1700447141
LBN Legal business name Nichols, Katie Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2019
Last updated Sep 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700447141 NPPES
Florida MEDICAID 103724800

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