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Individual

ERIN KATHERINE WONENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
6140 W CURTISIAN AVE STE 200, BOISE, ID 83704-0107
(208) 302-0000
(208) 302-0055
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
75964
ID
363LG0600X
Gerontology Nurse Practitioner
Primary
75964
ID

Other

Enumeration date
04/17/2023
Last updated
07/10/2024
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