Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicky Petrou

Individual provider Peer Specialist · NPI 1700752086

Nicky Petrou is a Peer Specialist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

3663 N Lakeharbor Ln
Boise, ID 83703-6913
Phone: (208) 522-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (ID)

Record details

NPI number1700752086
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 14, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address3663 N Lakeharbor Ln, Boise, ID 83703-6913

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