Peters, Nicki Jo
Peters, Nicki Jo is an sole proprietor health care provider with primary practice located at 4378 S Da Vinci Way , Meridian ID 83642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peters, Nicki Jo can be contacted via phone (208) 884-0110.Contact Information
Primary practice address
4378 S Da Vinci Way
Meridian ID 83642
Phone: (208) 884-0110
Fax: (208) 884-4508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-783A | Idaho |
Profile Details
| NPI number | 1871644583 |
|---|---|
| LBN Legal business name | Peters, Nicki Jo |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Dec 30th, 2019 - about 5 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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