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NPI Code Detail

MEDICARE: CASSIDY COLE SLOAN

MEDICARE: CASSIDY COLE SLOAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse64000ID

General Provider Information

NPI Number : 1154285716
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY COLE SLOAN
Provider Business Mailing Address
First Line : 417 S 6TH ST
Second Line :
City : BOISE
State : ID
Zip : 83702-7632
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 417 S 6TH ST
Second Line :
City : BOISE
State : ID
Zip : 83702-7632
Country : US
Telephone Number : 208-577-4423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ CASSIDY COLE SLOAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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