Individual
BONNIE LEE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
960 S BROADWAY AVE STE 505, BOISE, ID 83706-3630
(208) 780-6255
(208) 780-6291
Mailing address
7219 W SWIFT LN, BOISE, ID 83704-5961
(208) 412-4612
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
N-39504
ID
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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