Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tina Monique Bossolono-Williams

Individual provider Primary Care Nurse Practitioner · NPI 1891264545

Tina Monique Bossolono-Williams is a Nurse Practitioner in Nampa, Idaho. Qualified in 2018, 8 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1510 12th Ave Rd Ste 200
Nampa, ID 83686-6946
Phone: (208) 302-6800
Fax: (208) 302-6855
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 6051 W Emerald St, Boise, ID 83704-8969 — (208) 302-5150
  • 512 E Elm St, Caldwell, ID 83605-4871 — (208) 370-7004
  • 1385 Parkview Dr Ste 101, Twin Falls, ID 83301-4084 — (208) 944-0497

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 40406 (ID)

Record details

NPI number1891264545
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2018
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

Other providers in Nampa