NICOLE LYNNE PETERSEN
NPI 1265205850
Registered Nurse in Boise, ID

Active since November 06, 2023

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Lynne Petersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LYNNE PETERSEN (NPI 1265205850) is an individual registered nurse in Boise, Idaho, licensed in Idaho (58927) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1265205850
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameNICOLE LYNNE PETERSEN
Location Address417 S 6TH STBoise, ID 83702-7632
Mailing Address3002 Bristol AveCaldwell, ID 83605-1644 · (208) 803-4748
Sole ProprietorNo
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 4, 2023
NPI 1265205850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in ID · 58927
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

417 S 6TH ST, Boise, ID 83702

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Critical Care Medicine)
417 S 6TH ST
BOISE, ID 83702
Nurse Practitioner (Pediatrics)
417 S 6TH ST
BOISE, ID 83702
Social Worker
417 S 6TH ST
BOISE, ID 83702
Social Worker
417 S 6TH ST
BOISE, ID 83702
Social Worker
417 S 6TH ST
BOISE, ID 83702
Registered Nurse
417 S 6TH ST
BOISE, ID 83702
Registered Nurse
417 S 6TH ST
BOISE, ID 83702
Social Worker
417 S 6TH ST
BOISE, ID 83702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Petersen's NPI number?

The NPI number for Nicole Petersen is 1265205850. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Nicole Petersen located?

Nicole Petersen practices at 417 S 6th St, Boise, ID 83702. The listed phone number is (208) 577-4400.

What is Nicole Petersen's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Nicole Petersen was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.