IndividualActive
Tina Bossolono-Williams
NPI 1891264545 · Primary Care Nurse Practitioner · Nampa, ID
Provider details
- NPI number
- 1891264545
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 40406 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1510 12th Ave Rd Ste 200
Nampa, ID 83686-6946
Phone: (208) 302-6800
Fax: (208) 302-6855
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (3)
- 6051 W Emerald StBoise, ID 83704-8969Phone: (208) 302-5150Fax: (208) 302-5155
- 512 E Elm StCaldwell, ID 83605-4871Phone: (208) 370-7004
- 1385 Parkview Dr Ste 101Twin Falls, ID 83301-4084Phone: (208) 944-0497
Registry dates
- Enumerated
- 2018-11-23
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.