Nicole Wham, MS CCC-A

NPI 1811919491 · on the registry since 2006

Practice

Address: 700 Ironwood Dr
Ste #228
Coeur D'Alene, ID 83814
Phone: (208) 765-4961
Fax: (509) 783-8167
Organisation at this address: Avondale Dental Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 237600000X
237600000X
Also registered as: 231H00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-09-11

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