Individual
JOSHUA JON DELBUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
218 N 19TH ST, BOISE, ID 83702-4932
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
76676
ID
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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