Roberta J. Bostian, AGACNP
Roberta J. Bostian, AGACNP is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2020, 6 years ago. Practices with Corner Clinic St George LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.
- Years since qualifying
- 6
- Licensed in
- ID, UT
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
765 S Utah AveIdaho Falls, ID 83402-5093
Phone: (208) 525-2600
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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 12751401-4405 (UT) |
|---|---|
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X · Licence 68854 (ID) |
Record details
| NPI number | 1972275501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGACNP |
| Sole proprietor | No |
| NPI enumerated | October 1, 2021 |
| Last updated in NPPES | September 12, 2023 |
| Certification date | September 12, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Corner Clinic St George Llc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Idaho Falls
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Laxmi Bhattari
2985 Cortez Ave, Idaho Falls, ID 83404-7554 · (208) 523-3373
-
Lisa Marie Burger, ACAGNP-C
2065 E 17th St, Idaho Falls, ID 83404-8042 · (800) 640-3451
-
Taylor Emery, AGACNP-BC
3100 Channing Way, Idaho Falls, ID 83404-7533 · (952) 797-2172
-
Mrs. Jacklyn Hagg, AGACNP
3100 Channing Way, Idaho Falls, ID 83404-7533 · (208) 529-6111
-
Samuel Pennington Johnson, NP
3100 Channing Way, Idaho Falls, ID 83404-7533 · (801) 499-1889