| Nicole Boyle, CNP | |
|
2705 E 17th St, Ammon, ID 83406-6601 | |
| (208) 757-3973 | |
| Not Available |
| Full Name | Nicole Boyle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2705 E 17th St, Ammon, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275266991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 73410 (Idaho) | Primary |
| Entity Name | Pearl Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447426465 PECOS PAC ID: 0840356077 Enrollment ID: O20090312000617 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Boyle, CNP 4587 1st St, Idaho Falls, ID 83401-3898 Ph: (208) 757-3973 | Nicole Boyle, CNP 2705 E 17th St, Ammon, ID 83406-6601 Ph: (208) 757-3973 |
Jayde Barnes, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 Fax: 208-346-7501 | |
Joanne Pond, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1547 Midway Ave, Ammon, ID 83406 Phone: 209-872-0707 | |
Susannah Hancock, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1189 Red Robin Ave, Ammon, ID 83401 Phone: 619-602-4520 | |
Christopher James Jankowski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 | |
Colton Jeffery Phelps, MSN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Michelle Norman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7501 |