Individual
ANDREA L BOCKENSTETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 E JEFFERSON ST, STE 101, BOISE, ID 83712-6246
(208) 322-1680
(208) 336-4035
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1310A
ID
Other
Enumeration date
08/27/2013
Last updated
03/17/2015
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