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

Tina Williams, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1750965695

Tina Williams, FNP-BC is a Nurse Practitioner in Boise, Idaho. Qualified in 2020, 6 years ago. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2021
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

4110 W Guard St
Boise, ID 83705-8048
Phone: (208) 272-3735
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 68129 (ID)

Record details

NPI number1750965695
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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