TINA MONIQUE BOSSOLONO-WILLIAMS NPI 1891264545

NPI Information

NPI: 1891264545
Provider Name: TINA MONIQUE BOSSOLONO-WILLIAMS
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: SOUTHERN IDAHO HEALTH PARTNERS LLC

PECOS Registration: Yes

Address:
1385 PARKVIEW DR STE 101
TWIN FALLS, ID
ZIP 83301
Phone: (208) 944-0497
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Tina Monique Bossolono-williams is a primary care nurse practitioner in Twin Falls, ID with 6 years of experience. Tina Monique Bossolono-williams NPI is 1891264545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1385 PARKVIEW DR STE 101
TWIN FALLS, ID
ZIP 83301-084
Phone: (208) 944-0497

The NPI 1891264545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/23/2018 and was last updated on 11/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	40406	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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