Individual
KATHRIN BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2242 E RIVERWALK DR STE 200, BOISE, ID 83706-5483
(208) 495-4145
(833) 740-4395
Mailing address
2242 E RIVERWALK DR STE 200, BOISE, ID 83706-5483
(208) 495-4145
(833) 740-4395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
65244
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65244
IDAHO APRN LICENSE / IDAHO STATE BOARD OF NURSING
ID
Enumeration date
01/30/2023
Last updated
06/25/2025
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