Individual provider · Type 1 NPI

Grace Bolle

Registered Nurse · Coeur D Alene, ID

NPI number 1063311645 Active

Practice location

2452 W Suzanne Rd
Coeur D Alene, ID 83814-5999

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X76344 (ID)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1063311645

Grace Bolle's National Provider Identifier is 1063311645, issued on Nov 2, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Nov 2, 2026.