Individual
KATHRYN LAURA CNOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8000 S FEDERAL WAY, BOISE, ID 83716-9632
(208) 368-2109
Mailing address
8000 S FEDERAL WAY, BOISE, ID 83716-9632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66210
ID
Other
Enumeration date
12/21/2020
Last updated
10/13/2022
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