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

Nicole Lynne Petersen

Individual provider Registered Nurse · NPI 1265205850

Nicole Lynne Petersen is a Registered Nurse in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2023.

Licensed in
ID
In the registry since
2023

Practice location Address checks out

417 S 6th St
Boise, ID 83702-7632
Phone: (208) 577-4400
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 58927 (ID)

Record details

NPI number1265205850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 6, 2023
Certification dateNovember 4, 2023

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