IndividualActive
Katie Nichols, PA-C
NPI 1700447141 · Surgical Physician Assistant · Nampa, ID
Provider details
- NPI number
- 1700447141
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4400 E Flamingo Ave Ste 200
Nampa, ID 83687-9203
Phone: (208) 302-2700
Fax: (208) 367-2725
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (1)
- 1072 N Liberty St Ste 201Boise, ID 83704Phone: (208) 302-2400Fax: (208) 302-2455
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.