Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS BLICKENSTAFF, M.D., M.S.
Active Sole ProprietorNICHOLAS BLICKENSTAFF, M.D., M.S. is a Dermatology healthcare provider located in BOISE, Idaho. NPI 1437544582 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BOISE, ID
Registration Details
- NPI Number
- 1437544582
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2015 (11.319582026 yrs)
- Last Updated
- Apr 25, 2022
- Licenses
-
036.150002 (IL)M15699 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6454 W EMERALD STBOISE, ID, 837048734Browse ID providers · Browse ZIP 83704
- Phone
- 2083770820
- Fax
- 2083758046
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MARNIE R RIRIE | MD | 1134170855 |
| MR. STEVEN M MINGS | MD | 1548214265 |
| DR. JAMES H STEWART | PHD, MD | 1104870567 |
| DR. JENNIFER ANN DEBLIECK | MD | 1861421240 |
| JARED M SCOTT | MD | 1992808893 |
| LINDIE K BORTON | M.D | 1124106364 |
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.