Cody Johanna Bonine, FNP

NPI #1528730165 in Eagle, Idaho

Provider Information

NPI Number
1528730165
Entity Type
Individual
Name
Cody Johanna Bonine, FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Oct 1, 2021
Last Updated
Oct 1, 2021

Practice Location

Address
21 N FISHER PARK WAY
City
Eagle
State
Idaho
ZIP Code
83616-4796
Phone
(208) 996-8181

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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