Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICHOLAS WADE BOZARTH, PA-C
Active Sole ProprietorMedical Physician Assistant · POST FALLS, ID
Registration Details
- NPI Number
- 1326440827
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2014 (11.59685541625 yrs)
- Last Updated
- Jan 8, 2026
- License
-
PA-2131 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1101 E POLSTON AVE STE BPOST FALLS, ID, 838546045Browse ID providers · Browse ZIP 83854
- Phone
- 2087471776
- Fax
- 2087471777
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in POST FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| NATHANIEL ASHBY VAN VALIN | PA | 1386821759 |
| MRS. JENNIFER LYNN BRIGGS | PA-C | 1750529269 |
| REBECCA E LUEBBERT | PA-C, MSPAS, BSRT(R) | 1770061152 |
| JARED MUDGE | PA-C | 1679398929 |
| NATHAN CHRISTOPHER KUBEJ | PA-C | 1467310953 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.