IndividualActive
Nicole Roessler, LPN
NPI 1811776982 · Nursing Care Agency · Boise, ID
Provider details
- NPI number
- 1811776982
- Entity type
- Individual
- Primary specialty
- Nursing Care AgencyAgencies
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 53117 (ID)
Specialties & taxonomies
Agencies
Practice location
500 W Fort St Bldg 124
Boise, ID 83702-4501
Phone: (208) 422-1000
Approximate (ZIP-level) locationGet directions
Mailing address
500 W Fort St Bldg 124
Boise, ID 83702-4501
Registry dates
- Enumerated
- 2023-09-27
- Last updated
- 2023-09-27
- Certified
- 2023-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.