DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RUSSELL BOLTON HARMONY NP

MEDICARE: RUSSELL BOLTON HARMONY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse774657CA
2363LF0000XFamily Nurse Practitioner21853CA
3363LF0000XFamily Nurse PractitionerNP-1275AID
4208VP0014XInterventional Pain Medicine PhysicianNP-1275AID

General Provider Information

NPI Number : 1194065730
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSSELL BOLTON HARMONY NP
Provider Business Mailing Address
First Line : 6140 W CURTISIAN AVE STE 400
Second Line :
City : BOISE
State : ID
Zip : 83704-8907
Country : US
Telephone Number : 208-672-4640
Fax Number : 208-327-5602
Provider Business Practice Location Address
First Line : 1859 S TOPAZ WAY STE 106
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-4401
Country : US
Telephone Number : 208-672-4640
Fax Number : 208-957-6300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2013
Last Update Date : 09/10/2024

Similar Medicare Providers

1265414544 — KERRIE L PETECH R.N. ARNP-CNP
Practice Location Address:
1859 S TOPAZ WAY STE 100
MERIDIAN, ID
83642-4401
Practice Phone: 208-209-2432
Practice Fax:
1194105395 — HEATHER HAINSTOCK PSY.D.
Practice Location Address:
1859 S TOPAZ WAY STE 100
MERIDIAN, ID
83642-4401
Practice Phone: 208-209-2432
Practice Fax: 847-859-5885
1306291836 — IDAHO SPINE & PAIN PLLC
Practice Location Address:
1859 S TOPAZ WAY STE 106
MERIDIAN, ID
83642-4401
Practice Phone: 208-672-4640
Practice Fax: 208-957-6300
1144778309 — MRS. CIERRA NICOLE NEIWERT RDN
Practice Location Address:
1859 S TOPAZ WAY STE 100
MERIDIAN, ID
83642-4401
Practice Phone: 208-209-2432
Practice Fax: 848-859-5885
1285141119 — MADDIE LIDDIARD LMSW
Practice Location Address:
1859 S TOPAZ WAY STE 100
MERIDIAN, ID
83642-4401
Practice Phone: 208-209-2432
Practice Fax:
1740797125 — JENNA CAYWOOD LMSW
Practice Location Address:
1859 S TOPAZ WAY STE 100
MERIDIAN, ID
83642-4401
Practice Phone: 208-209-2432
Practice Fax: 847-859-5885

Directions to “ RUSSELL BOLTON HARMONY NP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.