Angela Bruno
Individual provider Active NPI Homemaker · Caldwell, ID
NPI 1295556272 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1295556272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 1416 E Linden St
Caldwell, ID 83605-5817 - Phone
- (208) 353-3965
- NPI assigned
- Oct 22, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Living 1 | Current |
Accepting new patients |
Locations
991 S Allante Pl
Boise, ID 83709
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
1416 E Linden St
Caldwell, ID 83605-5817
Mailing address
991 S Allante PL
Boise, ID 83709-1612
Phone (208) 353-3965
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.