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

Nicole L. Amideo, PA-C

Individual provider Physician Assistant · NPI 1700813714

Nicole L. Amideo, PA-C is a Physician Assistant in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 W Fort St Clc
Boise, ID 83702
Phone: (208) 422-1000
Fax: (208) 422-1319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-545 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA545 (ID)

Record details

NPI number1700813714
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESMarch 23, 2022
Certification dateMarch 11, 2022

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