Search › Idaho › 363LA2100X
Jose Coronado, APRN-CNP
NPI 1720802218 · on the registry since 2024 · sole proprietor
Practice
- Address
- 6051 W Emerald St
Boise, ID 83704 - Phone
- (208) 302-5150
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-27
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