Individual
NICOLE MARIE ROESSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 W FORT ST BLDG 124, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
500 W FORT ST BLDG 124, BOISE, ID 83702-4501
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
53117
ID
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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