person
Tina Monique Bossolono-williams
Primary Care Nurse Practitioner in Caldwell, Idaho
NPI 1891264545

Tina Monique Bossolono-williams is a Primary Care Nurse Practitioner based in Nampa, ID and is specialized in Primary Care. Tina Monique Bossolono-williams practices in Caldwell, ID. The NPI Number for Tina Monique Bossolono-williams is 1891264545 and holds a License No. 40406 (Idaho).

The current practice location address for Tina Monique Bossolono-williams is 512 E Elm St, Caldwell, ID and can be reached out via phone at 208-463-3000.

Location: 512 E Elm St, Caldwell, ID, 83686-6011
person
Provider Profile Details
NPI Number
1891264545
Provider Name
Tina Monique Bossolono-williams
Credential
Provider Entity Type
Individual
Gender
Female
Address
512 E Elm St, Caldwell, ID, 83686-6011
Phone Number
208-463-3000
Fax Number
Provider Enumeration Date
11/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
512 E Elm St
City
State
Zip
83605-4871
Phone Number
208-463-3000
Fax Number
person
Provider Business Mailing Address Details
Address
512 E Elm St
City
State
Zip
83605-4871
Phone Number
208-463-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
40406 (Idaho)
Definition
Definition to come...
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