NPI 1700252921

Nichole Grayson, RPSGT

Practitioner Other Technician Boise, ID

Practice location

Address: 500 W Fort St, Boise, ID 83702-4501
Phone: (208) 422-1000

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence PSG-101 (ID)

Other Technician, Other providers in Idaho →

Registry record

NPI: 1700252921
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2015
Record last updated: 12 Aug 2015

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.