IndividualActive
John Hickey, RN
NPI 1528909686 · Critical Care Medicine Registered Nurse · Boise, ID
Provider details
- NPI number
- 1528909686
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 64204 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2636
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.