NPI 1609584119
Mary Amanda Bashista, RRT
Practice location
- Address
- 500 W Fort St, Boise, ID 83702-4598
- Phone
- (208) 422-1420
- Fax
- (208) 422-1293
Registered specialties
Registered Respiratory Therapist
Primary
Registry record
- NPI
- 1609584119
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Nov 2022
- Record last updated
- 14 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.