Roberta Bostian, AGACNP

NPI 1972275501 · on the registry since 2021

Practice

Address: 765 S Utah Ave
Idaho Falls, ID 83402
Phone: (208) 525-2600
Organisation at this address: Community Care
Community Care West Side Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363LA2100X
363LA2100X
Also registered as: 363LA2100X
Licence states on file: ID, UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-09-12

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