LISA ANDREA BOOTSMA

BOISE, ID
NPI1891732475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA476A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: ID  N29873)
Enumeration Date2006-06-01
Last Update Date2012-01-18
Business Address
-- LISA ANDREA BOOTSMA CRNA
1055 N CURTIS RD
BOISE, ID 83706-1352
Phone number: 208-367-6416
Mailing Address
-- LISA ANDREA BOOTSMA CRNA
PO BOX 4268
PORTLAND, OR 97208-4268
Phone number: 503-372-2740