Dr. Nicole Marie Maxwell
Naturopath
4219 W Emerald St
Boise
, Idaho 83706-2036
Dr. Nicole Marie Maxwell
Naturopath
4219 W Emerald St
Boise
, Idaho 83706-2036
(208) 422-9957
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About
Features
Specialties
- Naturopath
Languages spoken
- English
Location
First Address
- Dr. Nicole Marie Maxwell
- 4219 W Emerald St
- Boise, ID
- Zip : 83706-2036
- Fax : (208) 422-9957
- Phone : (208) 338-0405
Second Address
- Dr. Nicole Marie Maxwell
- 4219 W Emerald St
- Boise, ID
- Zip : 83706-2036
- Fax : (208) 422-9957
- Phone : (208) 338-0405
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175F00000X | Naturopath | NT00001153 | WA |
National Provider Identifier
| NPI | 1083772065 |
|---|---|
| Provider Name | Dr. Nicole Marie Maxwell |
| First Address | Boise, ID 83706-2036 |
| Second Address | Boise, ID 83706-2036 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 28/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201450836 | TAX IDENTIFICATION NUMBER (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.