Most Relevant Information
Provider Data
| NPI Number: | 1003403338 |
| Provider Name: | KATHRYN LAURA CNOSSEN NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 66210 |
Most Important Dates
| Enumeration Date: | 12/21/2020 |
| Last Updated: | 10/13/2022 |
Provider Practice Location
8000 S FEDERAL WAY
BOISE
ID
837169632
Practice Location Phone/Fax
| Phone: | 2083682109 |
| Fax: |
Provider Mailing Location
8000 S FEDERAL WAY
BOISE
ID
837169632
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |