Search › Idaho › 363LP2300X
Tina Bossolono-Williams
NPI 1891264545 · on the registry since 2018
Practice
- Address
- 1510 12th Ave Rd Ste 200
Nampa, ID 83686 - Phone
- (208) 302-6800
- Fax
- (208) 302-6855
- Organisation at this address
- Cep America, Llc
Emp Idaho Nampa, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Additional practice sites
- 1385 Parkview Dr Ste 101, Twin Falls, ID
- 512 E Elm St, Caldwell, ID
- 6051 W Emerald St, Boise, ID
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho