Bostian, Roberta J.
Bostian, Roberta J. is an individual health care provider with primary practice located at 765 S Utah Ave , Idaho Falls ID 83402-5093. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bostian, Roberta J. can be contacted via phone (208) 525-2600.Contact Information
Primary practice address
765 S Utah Ave
Idaho Falls ID 83402-5093
Phone: (208) 525-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 68854 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 12751401-4405 | Utah |
Profile Details
| NPI number | 1972275501 |
|---|---|
| LBN Legal business name | Bostian, Roberta J. |
| Credentials | AGACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2021 |
| Last updated | Sep 12th, 2023 - about last year |
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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