Search › Idaho › 175T00000X
Nicky Petrou
NPI 1700752086 · on the registry since 2025
Practice
- Address
- 3663 N Lakeharbor Ln
Boise, ID 83703 - Phone
- (208) 522-6555
- Organisation at this address
- Brick House Recovery
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-14
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