SearchIdaho1041C0700X

Deanna Nibbs

NPI 1619378676 · on the registry since 2014

Practice

Address
4750 N Five Mile Rd Ste 100
Boise, ID 83713
Phone
(888) 949-4864
Organisation at this address
Physicians Clinic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
171M00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-06

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