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Search › Idaho › 363A00000X

Samantha Nizich, PA-C

NPI 1659244127 · on the registry since 2025

Practice

Address
300 E Jefferson St
Boise, ID 83712
Phone
(208) 322-1680
Fax
(208) 322-1695
Organisation at this address
Grande Ronde Hospital, Inc
St Lukes Regional Medical Center
St Lukes Regional Medical Center
St. Luke'S Regional Medical Center
St Lukes Regional Medical Center Dba St Luke'S Internal Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-21

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