Nicole Lynn Ackley, PHYSICIANASSISTANT
Nicole Lynn Ackley, PHYSICIANASSISTANT is a Medical Physician Assistant in Boise, Idaho. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
500 W Fort StBoise, ID 83702-4501
Phone: (208) 422-1000
Fax: (208) 422-1265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1265532337 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | September 25, 2006 |
| Last updated in NPPES | July 8, 2007 |
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