IndividualActive
Jose Coronado, APRN-CNP
NPI 1720802218 · Acute Care Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1720802218
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-CNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7161377 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6051 W Emerald St
Boise, ID 83704-8969
Phone: (208) 302-5150
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Registry dates
- Enumerated
- 2024-11-11
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.