SearchIdaho363LF0000X

Cody Bonine, FNP

NPI 1528730165 · on the registry since 2021 · sole proprietor

Practice

Address
21 N Fisher Park Way
Eagle, ID 83616
Phone
(208) 996-8181
Fax
(208) 549-7880
Organisation at this address
Keystone Hospice, Llc
Key Stone Health Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho