IndividualActive
Roberta Bostian, AGACNP
NPI 1972275501 · Acute Care Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1972275501
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- License
- 68854 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
765 S Utah Ave
Idaho Falls, ID 83402-5093
Phone: (208) 525-2600
Approximate (ZIP-level) locationGet directions
Mailing address
2325 Coronado St
Idaho Falls, ID 83404-7407
Registry dates
- Enumerated
- 2021-10-01
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.