Search › Idaho › Dermatology Physician
Nicholas Blickenstaff, M.D., M.S
NPI 1437544582 · on the registry since 2015 · sole proprietor
Practice
- Address
- 6454 W Emerald St
Boise, ID 83704 - Phone
- (208) 377-0820
- Fax
- (208) 375-8046
- Organisation at this address
- Ada Dermatology, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 13176 W Persimmon Ln, Boise, ID
Registry record
- Primary taxonomy
- Dermatology Physician
207N00000X
- Also registered as
- Dermatology Physician
- Licence states on file
- IL, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho