NPI 1023985132

Nicole Childers

Practitioner Case Manager/Care Coordinator Boise, ID

Practice location

Address: 4696 W Overland Rd STE 182, Boise, ID 83705-2878
Phone: (208) 421-6612

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1023985132
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2025
Record last updated: 22 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.