Individual
ROSANNA HENGST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
911 N MOUNTAIN COVE RD, BOISE, ID 83702-4534
(208) 422-1000
Mailing address
304 N CAMPBELL AVE, MIDDLETON, ID 83644-5786
(406) 498-9818
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25818
MT
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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