Nicholas Blickenstaff, MD, MS
Nicholas Blickenstaff, MD, MS is a Dermatology in Boise, Idaho. Graduated from University of Utah School of Medicine in 2019, 7 years ago. Practices with Ada Dermatology P A, a 5-clinician group and works from 2 locations. Licensed in Idaho and Illinois.
- Years since qualifying
- 7
- Trained at
- University of Utah School of Medicine
- Licensed in
- ID, IL
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
6454 W Emerald StBoise, ID 83704-8734
Phone: (208) 377-0820
Fax: (208) 375-8046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 13176 W Persimmon Ln, Boise, ID 83713-5063 — (208) 939-8640
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence M15699 (ID) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 036.150002 (IL) |
Record details
| NPI number | 1437544582 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , MS |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2015 |
| Last updated in NPPES | April 25, 2022 |
| Certification date | April 25, 2022 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduated | 2019 (7 years in practice) |
| Group practice | Ada Dermatology P A — 5 clinicians |
| Accepts Medicare assignment | Not indicated |
Other providers in Boise
-
Boise Skin Clinic PLLC
1636 S Hadley Ave, Boise, ID 83709-2684 · (208) 209-7898
-
Lindie K Borton, MD
3811 N Garden Center Way, Boise, ID 83703-5007 · (208) 287-5525
-
Dr. Teri J Cottingham, MD
999 N Curtis Rd Ste 505, Boise, ID 83706-1336 · (208) 327-9521
-
Dr. Jennifer Ann Deblieck, MD
13176 W Persimmon Ln, Boise, ID 83713-1986 · (208) 939-5030