person
Cody Johanna Bonine, FNP
Family Nurse Practitioner in Eagle, Idaho
NPI 1528730165

Cody Johanna Bonine is a Family Nurse Practitioner based in Boise, ID and is specialized in Family. Cody Johanna Bonine practices in Eagle, ID and has the professional credentials of FNP. The NPI Number for Cody Johanna Bonine is 1528730165 and holds a License No. 69928 (Idaho).

The current practice location address for Cody Johanna Bonine is 21 N Fisher Park Way, Eagle, ID and can be reached out via phone at 208-996-8181 and via fax at 208-549-7880.

Location: 21 N Fisher Park Way, Eagle, ID, 83713-0870
person
Provider Profile Details
NPI Number
1528730165
Provider Name
Cody Johanna Bonine
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
21 N Fisher Park Way, Eagle, ID, 83713-0870
Phone Number
208-996-8181
Fax Number
208-549-7880
Provider Enumeration Date
10/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21 N Fisher Park Way
City
State
Zip
83616-4796
Phone Number
208-996-8181
Fax Number
208-549-7880
person
Provider Business Mailing Address Details
Address
21 N Fisher Park Way
City
State
Zip
83616-4796
Phone Number
208-996-8181
Fax Number
208-549-7880
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
69928 (Idaho)
Definition
Definition to come...
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