Individual provider · Type 1 NPI

Jose Antonio Coronado, APRN-CNP

Acute Care Nurse Practitioner · Boise, ID

NPI number 1720802218 Active

Practice location

6051 W Emerald St
Boise, ID 83704-8969

Mailing address

PO Box 190930
Boise, ID 83719-0930

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X7161377 (ID)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1720802218

Jose Antonio Coronado, APRN-CNP's National Provider Identifier is 1720802218, issued on Nov 11, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Boise, ID. The record was last updated on Dec 27, 2024.