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Nicolette Bove

Speech-Language Pathologist, in Boise, ID. Individual provider (NPI-1).

NPI number1265002604
StatusActive
Last updated in NPPESJun 28, 2021

Details

NPI
1265002604
Entity type
Individual (NPI-1)
Name
Nicolette Bove
Sex
Female
Sole proprietor
No
Enumeration date
Jun 28, 2021
Certification date
Jun 28, 2021
Last updated
Jun 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP-4379IDYes

Practice location

190 E Bannock St
Boise, ID 83712-6241

Phone 208-381-2222

Mailing address

190 E Bannock St
Boise, ID 83712-6241

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