TINA MONIQUE BOSSOLONO-WILLIAMS
Individual Provider (NPI-1)
Active
Nurse Practitioner, Primary Care
Provider Information
- NPI Number
1891264545- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1510 12TH AVE RD STE 200, NAMPA, ID, 836866946
- Phone
- (208) 302-6800
- Fax
- (208) 302-6855
Specialties & Taxonomies
Nurse Practitioner, Primary Care
Primary License: ID #40406