Provider Demographics
NPI:1124911649
Name:FRANSEN, NICKOLAS (ACUPUNCTURIST)
Entity type:Individual
Prefix:MR
First Name:NICKOLAS
Middle Name:
Last Name:FRANSEN
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5392 W ROSSLARE DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-6252
Mailing Address - Country:US
Mailing Address - Phone:760-473-3072
Mailing Address - Fax:
Practice Address - Street 1:1151 E IRON EAGLE DR
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-6854
Practice Address - Country:US
Practice Address - Phone:760-473-3072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDACU-0372171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist