IndividualActive
Michelle Hicks, NP
NPI 1508973991 · Adult Health Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1508973991
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- NP-641A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
600 N Robbins Rd
Suite 100
Boise, ID 83702-4566
Phone: (208) 383-0201
Fax: (208) 489-4300
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2011-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.