NPI 1083772065
Nicole Marie Maxwell, NMD
Practice location
- Address
- 4219 W Emerald St, Boise, ID 83706-2036
- Phone
- (208) 338-0405
- Fax
- (208) 422-9957
Registered specialties
Naturopath
Primary
Registry record
- NPI
- 1083772065
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Dec 2006
- Record last updated
- 28 Jan 2020
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.