Individual
DONNA MARIE PUNINANI MONIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
14890
HI
164W00000X
Licensed Practical Nurse
202206783LPN
OR
164W00000X
Licensed Practical Nurse
Primary
55197
ID
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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