IndividualActive
Erin Wonenberg, AGACNP-BC
NPI 1689360240 · Gerontology Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1689360240
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 75964 (ID)
Practice location
6140 W Curtisian Ave Ste 200
Boise, ID 83704-0107
Phone: (208) 302-0000
Fax: (208) 302-0055
Mailing address
Po Box 190930
Boise, ID 83719-0930
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.