Individual provider · Type 1 NPI
Joseph Ronquillo, DNP
Pediatric Nurse Practitioner · Boise, ID
NPI number
1902591399
Active
Practice location
190 E Bannock St
Boise, ID 83712-6241
Fax (208) 381-7170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 75784 (ID) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1902591399
Joseph Ronquillo, DNP's National Provider Identifier is 1902591399, issued on Apr 10, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boise, ID. The record was last updated on Sep 18, 2023.