Bossolono-Williams, Tina Monique

Bossolono-Williams, Tina Monique is an individual health care provider with primary practice located at 6051 W Emerald St , Boise ID 83704-8969. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bossolono-Williams, Tina Monique can be contacted via phone (208) 302-5150.

Contact Information

Primary practice address
6051 W Emerald St Boise ID 83704-8969
Fax: (208) 302-5155
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 40406 Idaho

Profile Details

NPI number 1891264545
LBN Legal business name Bossolono-Williams, Tina Monique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2018
Last updated May 15th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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