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

Nicole K Whiting

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174358956

Nicole K Whiting is a Student in an Organized Health Care Education/Training Program in Eagle, Idaho. Practices as a sole proprietor. Licensed in California and Idaho.

Licensed in
CA, ID
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1065 E Winding Creek Dr Ste 250
Eagle, ID 83616-7246
Phone: (208) 805-2324
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence SE-203972 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PSB94028303 (CA)

Record details

NPI number1174358956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address1047 Schultz Rd, Moscow, ID 83843-8120

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