Individual
NOZOMI GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2537 W STATE ST STE 200, BOISE, ID 83702-2200
(208) 336-0895
Mailing address
1066 S SILVERSTONE WAY APT A302, MERIDIAN, ID 83642-1341
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
79582
ID
Other
Enumeration date
02/26/2022
Last updated
06/24/2024
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