Jose Antonio Coronado, APRN-CNP
Jose Antonio Coronado, APRN-CNP is a Nurse Practitioner in Boise, Idaho. Qualified in 2023, 3 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 3
- Licensed in
- ID
- In the registry since
- 2024
Practice location Address checks out
6051 W Emerald StBoise, ID 83704-8969
Phone: (208) 302-5150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 7161377 (ID) |
|---|
Record details
| NPI number | 1720802218 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APRN-CNP |
| Sole proprietor | Yes |
| NPI enumerated | November 11, 2024 |
| Last updated in NPPES | December 27, 2024 |
| Certification date | December 27, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Saint Alphonsus Regional Medical Center Inc — 673 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 13 on file with Medicare |
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Rachel Lynne Davis, AGACNP-BC
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Katherine Haworth
190 E Bannock St, Boise, ID 83712-6241 · (208) 381-5500