IndividualActive
Alphonse Mbarushimana
NPI 1104773779 · Social Worker · Boise, ID
Provider details
- NPI number
- 1104773779
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
4980 S Tinker Ave
Boise, ID 83709-5326
Phone: (208) 801-8379
Fax: (208) 801-8379
Mailing address
4980 S Tinker Ave
Boise, ID 83709-5326
Registry dates
- Enumerated
- 2026-03-12
- Last updated
- 2026-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.