Individual provider · Type 1 NPI

Tina Monique Bossolono-Williams

Primary Care Nurse Practitioner · Nampa, ID

NPI number 1891264545 Active

Practice location

1510 12th Ave Rd Ste 200
Nampa, ID 83686-6946

Fax (208) 302-6855

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 1385 Parkview Dr Ste 101, Twin Falls, ID 83301-4084 · (208) 944-0497
  • 512 E Elm St, Caldwell, ID 83605-4871 · (208) 370-7004
  • 6051 W Emerald St, Boise, ID 83704-8969 · (208) 302-5150

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X40406 (ID)

Primary Care Nurse Practitioner: Definition to come...

19 other providers at this address

Other primary care nurse practitioner providers in Nampa

See all in Nampa →

About NPI 1891264545

Tina Monique Bossolono-Williams's National Provider Identifier is 1891264545, issued on Nov 23, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Nampa, ID. The record was last updated on Sep 30, 2024.